Updated 9 February 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors and an assistant inspector.
Service and service type
The Old Rectory is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at all the information we had received about and from the home since the last inspection.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all of this information to plan our inspection.
During the inspection
We met with all of the people living at the service and spoke with two people in detail. Not all people could speak with us about their experience of living at the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with four visitors about their experience of the care provided. We spoke with nine staff including the registered manager and provider, care staff and housekeeping staff. We also spent time observing care and support in communal areas and saw lunch served in the dining room.
We reviewed a range of records. This included three people's care records and their medication records.
We also held a remote video call with the registered manager to discuss the governance arrangements at the home.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. The registered manager sent us documentation electronically including staff training information, supervision records and a range of records used to monitor the quality and safety of the service. We sought feedback from six professionals who work with the service and received feedback from four. We received feedback from two relatives.
We continued to review the information we received from the service and feedback from relatives and professionals until 5 January 2021.