The Old Vicarage

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the service met people’s needs. This was the first inspection for this service. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. A relative said, “The staff always involve me in discussions about what should be in [person’s name] care plans and they really listen to my suggestions.” Care plans and risk assessments were regularly reviewed with people to make sure these met their needs and reflected their wishes.

The service understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. People told us about how well they got on with the staff and their housemates, and how disagreements and differences within the household were thoughtfully addressed to resolve conflicts. People were supported to experience a wide range of activities and broaden their horizons. A person told us, “I go out lots and really like living here.”

The service supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. Information was available in a variety of formats and in a way people could understand. Communication plans were in place. Care staff told us they had information about, and understood, people’s communication needs. We observed staff effectively supported people to fully express themselves.

The service made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. They involved people in decisions about their care and told them what had changed as a result. A relative said, “I haven’t had the need to raise any concerns, but find any suggestions I make are listened to and carried out.”

The service made sure that people could access the care, support and treatment they needed when they needed it. Discussions with staff showed they understood how to access specialist health or social care support people might need. Staff understood the needs of autistic people and worked hard to ensure that typical barriers faced by people were removed or mitigated against.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. For example, staff completed training in equality and diversity to understand and reduce inequalities or prejudices that affected outcomes for people. The registered manager ensured peoples’ social and healthcare needs were fully considered and met.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. No one was receiving end of life care, but staff understood how to deliver this should it ever be needed. Staff supported people to consider their wishes and aspirations for the future. One person said, “Staff help me think about what I would like to do.”