CQC report explained · a residential care home
What the CQC found at The Old Rectory Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People felt safe, risks were assessed and reviewed, and there were enough skilled and experienced staff. Medicines were securely stored and administration records were clear.
- Effective?
- Good
- People's needs and preferences were assessed before they moved in. Staff had suitable training, worked with healthcare professionals and supported people's nutritional and consent needs.
- Caring?
- Outstanding
- Staff were exceptionally kind and compassionate. People were involved in decisions, treated with dignity and supported to remain as independent as possible.
- Responsive?
- Outstanding
- Care was highly personalised and staff responded promptly to requests. People were supported with communication, activities, relationships, community links and end of life wishes.
- Well-led?
- Outstanding
- The home had an open and inclusive culture, strong leadership and well-established quality checks. Staff were highly committed and the service showed continuous learning and improvement.
What inspectors found, October 2019
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.
This was an unannounced, planned inspection on 17 September 2019. One inspector spoke with 10 people living at the home, three relatives, two healthcare professionals and 11 staff. They also reviewed care, medicines, recruitment and management records.
People told inspectors they felt safe and were treated with kindness, dignity and respect. Staff were described as skilled, compassionate and responsive to individual needs. Inspectors found good systems for medicines, staffing, risk management, food, healthcare and infection control.
The home was rated Outstanding overall. Caring, Responsive and Well-led were Outstanding. Safe and Effective were Good. The overall rating was unchanged from the previous inspection, while Well-led improved from Good to Outstanding.
Kind and respectful care
People and relatives described staff as exceptionally kind, compassionate and respectful. Staff took time to understand what mattered to each person.
“They [staff] exceed kindness in every way. I just can't speak highly enough of them.” from the report
Personalised support
Staff adapted care around individual wishes, interests, faith and relationships. People were supported to attend events, maintain friendships and take part in activities without pressure.
“It's all about what the residents want to do and what they enjoy.” from the report
Safe staffing and medicines
Inspectors found enough skilled staff to meet people's needs. Medicines were stored safely, and records showed when medicines had been given or refused.
“There were sufficient numbers of skilled and experienced staff to meet people's needs.” from the report
Strong leadership
The provider and management team promoted high standards and regularly checked the quality of care. Staff understood and shared the home's values.
“Our observations and discussions with staff and people who used the service demonstrated that the provider's high standards and ethos had been fully embraced by the staff team.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough skilled staff on each shift to meet my relative's needs?
- 02How will you record and review my relative's preferences, interests, faith and communication needs?
- 03What activities, trips and support to maintain friendships would be available for my relative?
- 04How do you check that medicines are given safely and that staff remain competent to administer them?
- 05How would you support my relative's wishes for end of life care and work with healthcare professionals if their needs changed?
This was an unannounced inspection covering all five CQC questions, including the care and premises; the report says the previous rating was from April 2017. This explanation was written from the published report of 9 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2017
Rated Outstanding overall; inspectors found exceptionally kind, personalised care, with safe, effective and well-managed support.
This was an unannounced inspection on 3 August 2016. Inspectors spoke with people living in the home, relatives, staff and healthcare professionals. They reviewed care records, medicines, recruitment checks and quality monitoring records.
The home was rated Good for Safe, Effective and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable recruitment checks, relevant staff training and good work with healthcare professionals.
Caring and Responsive were rated Outstanding. Inspectors found respectful and compassionate relationships, strong attention to people's choices and independence, and a wide range of activities shaped around people's interests and abilities.
An Outstanding overall rating means the inspection found an exceptionally high standard across the service at that time. The report does not give a comparison with an earlier rating.
Kind and respectful care
People were treated warmly and with respect. Staff knew individual preferences and supported privacy, dignity and independence.
“People received care and support that was delivered in a kind and compassionate way.” from the report
Personal choice
People were involved in decisions about their care, daily routines, food and activities. Support was adjusted to help people remain as independent as possible.
“People were listened to and were supported to be able to make decisions and choices.” from the report
Activities and social life
The home offered activities inside and outside the home, including adapted activities for people with visual impairments. Families, volunteers and local community groups were involved.
“People enjoyed an excellent range of activities both in and out of the home.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and safe systems for recruitment, medicines and risk management.
“People were supported by sufficient staff to meet their needs safely and effectively.” from the report
Strong healthcare links
The home worked with healthcare professionals to support people's health, recovery and changing needs.
“This joint working ensured people's needs were met consistently and efficiently.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are working at different times of day now, especially at breakfast and when people need support to go out?
- 02How are medicines managed for people who self-administer, and has the plan for locked medicine cabinets in bedrooms been introduced?
- 03How are activities adapted now for people with poor or deteriorating eyesight, and for people who are becoming less mobile?
- 04How are people's end-of-life wishes recorded and reviewed, and how are families involved if the person wants them to be?
- 05How are people's views and complaints gathered now, and can you show examples of changes made in response?
This was an unannounced inspection of the overall service and all five key questions, including care for 30 people living in a home registered for up to 31 people. This explanation was written from the published report of 4 April 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk. The report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of The Old Rectory Care Home
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- October 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- April 2017OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- July 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- July 2012
Registered with the Care Quality Commission on 26 July 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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57 live-in carers within about an hour of Shropshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £960 to £1,230 a week. 52 can care for a couple. 9 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.