Archived: The Old Vicarage at Airmyn

The home is registered to provide accommodation and care for up to 19 older people, including people who are living with dementia. On the day of the inspection there were 19 people living at the home. The home is situated in Airmyn, a village that is close to the town of Goole, in the East Riding of Yorkshire. The premises have two floors; the ground floor is on two levels with a stair lift to assist people with the internal stairs. The first floor is accessed by a passenger lift. There is one shared bedroom and all other bedrooms are single, most with en-suite facilities. There are communal bathrooms or showers on each floor.

The registered provider is required to have a registered manager in post and on the day of the inspection there was no manager registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The previous manager had left the organisation and a new manager had been appointed. They had commenced the registration process with CQC.

New staff had been employed following the home’s recruitment and selection policies and this ensured that only people considered suitable to work with vulnerable people worked at The Old Vicarage at Airmyn. We saw that there were insufficient numbers of staff on duty during the afternoon / evenings. This had been recognised by the registered provider and they were in the process of recruiting staff to fill these gaps.

People were protected from the risks of harm or abuse because there were effective systems in place to manage any safeguarding concerns. Staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm. There was evidence that the registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

We checked medication systems and saw that medicines were stored and administered safely, although some minor improvements were needed in respect of recording. Staff who had responsibility for the administration of medication had received appropriate training.

People who lived at the home and relatives told us that staff were very caring and that they respected people’s privacy and dignity. We observed and were told that staff had a good understanding of people’s individual care and support needs.

A variety of activities were provided to meet people’s individual needs, and people were encouraged to take part. People’s family and friends were made welcome at the home.

People told us that they were very happy with the food provided. We observed that people’s nutritional needs had been assessed and individual food and drink requirements were met.

The premises were clean, hygienic and well maintained. We saw there was appropriate signage, decoration and prompts to assist people in finding their way around the home.

There were systems in place to seek feedback from people who lived at the home. People told us they were confident their complaints and concerns would be listened to. Any complaints made to the home had been investigated and appropriate action had been taken in response to the complaints.

Staff confirmed that they received induction training when they were new in post and told us that they were happy with the training provided for them.

Some staff, people who lived at the home and relatives told us that the home was well managed. However, numerous concerns were shared with us by other staff and a relative. We addressed this by meeting with the registered provider on a second inspection day. The registered provider submitted an action plan to tell us how they would be dealing with these concerns.

Quality audits undertaken by the registered provider and the manager were designed to identify that systems at the home were protecting people’s safety and well-being. When quality audits had identified that improvements needed to be made, there was not always a record of when actions had been completed.

The Old Vicarage at Airmyn is a care home for older people, some of whom may be living with a

dementia related condition. The home is located in the village of Airmyn, close to the town of Goole, in the East Riding of Yorkshire. It can accommodate up to 22 older people.

The registered provider is required to have a registered manager in post and on the day of the inspection there was a registered manager employed at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the inspection on 9 February 2016 we found that the registered provider, registered manager and staff had attended training on safeguarding adults from abuse. They were aware of how to assess the level of risk involved in any incidents that might occur, and how this determined the action that needed to be taken.

We looked at accident recording and noted that notifications were submitted to the Care Quality Commission as required. Accident records included the action that had been taken to ensure people were safe following any accidents or incidents.