Background to this inspection
Updated
7 November 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of one inspector.
Service and service type
The Old Vicarage is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Old Vicarage is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
During the inspection
During the inspection we spoke with 4 people who used the service, and 3 relatives of people who use the service. We also spoke with 3 staff members, the chef, the deputy manager, and the registered manager. We looked at multiple records including care plans, risk assessments, and recruitment records.
Updated
7 November 2023
About the service
The Old Vicarage is a residential care home providing personal and nursing care to up to 38 people. The service provides support to older people. At the time of our inspection there were 27 people using the service.
People’s experience of the service and what we found:
People felt safe within the service. Risk assessments were in place to manage risks within people’s lives, and staff understood how to manage risk.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.
Medicines were stored and administered safely, and staff had training in this area.
Staffing support matched people’s needs within the service during our inspection. Staff were supervised well and felt confident in their roles.
The staff and management was open and honest, and worked in partnership with outside agencies to improve people’s support when required.
Audits of the service were detailed and any issues found were addressed promptly.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (Published 17 November 2017)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for The Old Vicarage on our website at www.cqc.org.uk.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.