Background to this inspection
Updated
7 March 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.
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 one inspector
Service and service type
The Rectory 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 Rectory is a care home without] 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
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 (PIR). This is information providers are required to send us annually with key information about their service, what they do
During the inspection
We spoke with 8 people who used the service about their experience of the care provided and 2 relatives during the inspection. Additionally, we spoke with 9 staff members including care and activity staff; catering and ancillary staff, the deputy manager, and the registered manager.
We reviewed a range of records. This included 3 people's care records and a sample of medication records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance audits, training records, key policies and meeting minutes were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. Following the inspection, we received feedback from 8 relatives and 7 professionals who work with this service.
Updated
7 March 2023
The Rectory Care Home is a care home, providing care for up to 25 people who are living with dementia. At the time of the inspection there were 19 people living at the service.
People's experience of using this service and what we found
Everyone we spoke with said they felt safe living at The Rectory. We received consistently positive feedback from people using the service, their relatives and visiting professionals. Comments included, “Life here is pretty good. The staff are lovely and get to me quickly when I need them” and “I am safe as houses here”. Relatives and professionals told us, “The care home is fabulous, and the care is amazing” and “I have found this home and the staff to be inspiring and wish every home was so caring and well led”.
The registered manager and deputy had assessed the risks associated with people's care and support. Staff were knowledgeable about these risks and knew what to do to minimise the potential for harm. There were systems and processes in place at the home to ensure people were protected from harm and abuse.
People were supported to have maximum choice and control of their lives and the provider supported them in the least restrictive way possible and in their best interests; the application of the policies and systems supported good practice. Staff treated people with dignity and respect and were caring and attentive.
The registered manager and staff team had good links with the local communities within which people lived. The service was very much part of the local community and neighbours told us what a great neighbour the service was.
The provider had effective systems in place to identify improvements and drive good care. The environment was safe. Effective health and safety checks were completed, and timely action taken to address any improvements. People's medicines were safely managed, pre-employment recruitment checks were undertaken and there were sufficient staff on duty.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was Good (published 06 February 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has remained Good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Rectory 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.