10 January 2023
During an inspection looking at part of the service
About the service
The Old Rectory Nursing and Residential Home is a 'care home' registered to provide personal and nursing care to up to 34 older people. At the time of inspection, the home was supporting 22 people, including people with a learning disability and people with dementia.
People’s experience of using this service and what we found
Right Support
The provider had made improvements to the home following our previous inspection, to ensure it was safe for people. People had control of how their care and support was arranged. The registered manager had reviewed the governance and auditing system following the previous inspection. Audits were up to date and identified any lessons learnt following incidents and accidents so that they could take action to keep people safe. Risks to people's health were assessed so staff could support them safely. People's medicines were managed safely.
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.
People received care and support in an environment with specialist equipment to meet their physical needs. People and their relatives were able to personalise their bedroom. People were supported by appropriate numbers of staff who provided kind, caring, person-centred care and support. Staff communicated with people in ways that met their needs.
Right Care
Care plans and risk assessments were detailed, and person-centred ensuring people were supported to live full, active lives and encouraged to maintain their independence. One person told us, “Staff are always telling me to do my exercises. I’m very complex, they all try their best to keep me exercising and moving.”
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to raise concerns.
Right Culture
People and those important to them, were involved in planning their care. People's needs were assessed before they moved into the home. The home worked together with healthcare professionals who provided specialist support to people to ensure people's needs could be met. One health and social care professional told us, “We get communication, they never ring after the person has arrived, they always let us know beforehand when a person will need a wellbeing plan so we can plan that support.”
Staff demonstrated good understanding around providing people with person centred care and spoke knowledgably about how people preferred their care and support to be given. Feedback was sought from people to help make continuous improvements to the home.
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 requires improvement (published 13 September 2021).
At our last inspection we made recommendations about risk, environmental safety checks, ongoing improvements to the home and the manager’s oversight of audits and systems in place to monitor the environment. At this inspection we found the provider had acted on the recommendations and had made improvements.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they met legal requirements. This report only covers our findings in relation to the key questions Safe, Effective and Well-led which contain those requirements.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to 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 Old Rectory Nursing and Residential Home 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.