The Old Rectory

Updated 7 August 2019

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.

Inspection team

This inspection was carried out by two Inspectors.

Service and service type

The Old Rectory is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 spoke with six people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, clinical lead, senior care workers, care workers and the chef.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 7 August 2019

About the service

The Old Rectory is a residential care home providing personal and nursing care to 35 people aged 65 and over at the time of the inspection. The care home accommodates 35 people in one adapted building. There are three lounge areas, two dining areas and large garden area. The bedrooms are spread across the Ground floor, the first floor and an extended wing on the Ground floor.

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

People told us that they enjoyed living at The Old Rectory and felt relaxed and comfortable. Relatives told us, “It’s so nice because we know that our Dad is safe and being well looked after.”

Staff appeared relaxed and happy whilst working and kind interactions were seen between people and staff.

There were enough staff to meet people’s needs in a timely manner and enable people to remain safe. The environment was safe, and people had access to appropriate equipment where needed, examples of this were hoists and walking frames. People were supported to take their medicines safely.

There were thorough policies in place for people to be kept safe. Risks to people’s safety had been assessed and measures implemented to keep them safe. A positive approach to risk taking was followed to ensure people’s independence was maintained. Staff were aware of their responsibilities in safeguarding people from abuse and had developed open and trusting relationships with people.

Staff had received appropriate training and support, and people had access to healthcare professionals to meet people’s individual health needs. This had enabled staff to provide people with individualised support in these areas. Support was provided to people so that their health was well managed, and staff had positive links with healthcare professionals which promoted wellbeing for them. People’s family told us they enjoyed their food and were offered choices in how they spent their time.

People’s relatives told us that staff were caring and treated them with respect. There was a warm and homely atmosphere and people said they were comfortable living at The Old Rectory.

People received a personalised service and were involved in developing their care plans. Staff knew people’s life histories, preferences and routines. Activities were based around people’s choices and people were supported to take part in the running of their home.

There was a positive culture within the service where people, staff and relatives felt listened to. The registered manager felt supported by the provider and this flowed through the service. Quality assurance systems were in place which ensured high standards were maintained.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; 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 27 January 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.