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Vicarage Farm Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 17 December 2020

About the service

Vicarage Farm Nursing Home is a care home with nursing for up to 59 older people. The home provides care for people who are living with dementia, other nursing needs and people who are nearing the end of their lives. At the time of our inspection, 58 people were living at the service.

People’s experience of using this service and what we found

The staff did not always assess accidents and incidents. They did not identify if there were specific triggers for these adverse events and therefore did not learn how to make improvements to prevent further incidents.

Not all the risks to people's safety and wellbeing had been identified, assessed or managed. This meant there was a potential risk of people being harmed.

Some records used to describe people's needs and how they had been cared for were not complete and did not provide enough information about their care and safety.

We discussed these areas of concern with the registered manager and management team. They agreed to look at how they could make improvements in these areas.

People using the service were happy with the care they received. The staff were kind, polite and knew them well. They were provided with personalised care which reflected their preferences and met their needs. This was particularly evident in the range of different activities and social events.

There were procedures designed to help make sure staff were suitable and had the skills and knowledge they needed. These procedures included checks during recruitment, regular training and supervision. The staff told us they felt well supported and were happy working at the service.

People received their medicines in a safe way and as prescribed.

There were suitable systems for managing infection prevention and control. The staff were aware of these and the systems had been reviewed and updated since the start of the COVID-19 pandemic.

The registered manager was suitably qualified and experienced. They worked alongside a team of senior staff and they all knew the service well. There were appropriate systems for reviewing people's health and working with others to make improvements regarding this.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The rating at the last inspection was good (published 2 June 2018).

Why we inspected

The inspection was prompted in part due to concerns received about unexplained injuries, complaints about the service and whistle blowing alerts. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only.

We have found evidence that the provider needed to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Vicarage Farm Nursing Home on our website at


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in rel

Inspection areas


Requires improvement

Updated 17 December 2020

The service was not always safe.

Details are in our safe findings below.



Updated 17 December 2020



Updated 17 December 2020



Updated 17 December 2020

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 17 December 2020

The service was not always well-led.

Details are in our well-led findings below.