CQC report explained · a nursing home
What the CQC found at The Old Rectory Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm and staffing levels met people's needs. Inspectors found gaps in repositioning records, medicine records, medicine-room security and recruitment paperwork, but the provider acted on these after the inspection.
- Effective?
- Good
- Staff were trained, supervised and understood people's health needs. People received appropriate healthcare support and were helped to eat and drink safely.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. Inspectors found a strong person-centred culture and saw people being involved in decisions about their care.
- Responsive?
- Outstanding
- Care plans were highly detailed and tailored to individual choices, routines and communication needs. Staff supported people to maintain relationships, interests, independence and links with the local community.
- Well-led?
- Good
- The home had regular audits, supportive leadership and systems for using feedback and learning from incidents. Inspectors said the issues they found had been promptly addressed.
What inspectors found, June 2020
Rated Good; inspectors found exceptionally responsive, kind care, but identified medicine, repositioning and recruitment record problems.
This was an unannounced inspection over three visits in February 2020. Inspectors spoke with eight people, seven relatives and 17 staff. They observed care and reviewed care files, staff files, training records, medicine records and management records.
The home was rated Good overall. Safe, Effective, Caring and Well-led were rated Good. Responsive was rated Outstanding. Inspectors found a strong person-centred culture, kind staff, detailed care planning and many creative ways to support people's interests, independence and community links.
Inspectors found some problems with medicine records, the security of the medicine room, repositioning records and the recruitment paperwork for six staff. The report says the provider took prompt action after the inspection. No one had pressure damage at the time of the inspection.
Personalised care
Staff knew people well and shaped care around their preferences, communication and routines. People were supported to make choices and remain as independent as possible.
“Care plans were extremely detailed. Support centred on choice and promoting independence.” from the report
Kind relationships
Inspectors saw warm, respectful relationships between people and staff. The report describes a strong person-centred culture across all roles.
“The Old Rectory had a strong and visible person-centred culture.” from the report
Community and activities
People were supported to continue hobbies, meet friends and join activities outside the home. Staff also created events and opportunities within the home.
“People were constantly encouraged and supported to engage in the local community.” from the report
Repositioning records
needs fixingRecords did not always show that people who needed regular repositioning had been moved at the times set out in their care plans. The provider updated the care plans after the inspection.
“Repositioning charts were not being completed in line with the timings in the care plan.” from the report
Medicine records and security
seriousRecords did not state where pain relief patches and insulin had been applied, which is needed to rotate application sites. The medicine room was also found unlocked on the first inspection day, although it was locked on the next two days.
“Medicine records for people prescribed pain relief patches and insulin did not state the sites.” from the report
- 01Have the medicine records been changed so patch and insulin application sites are recorded and rotated?
- 02Has the medicine room keypad been fitted, and how is access now checked?
- 03How are repositioning times recorded and checked for people at risk of pressure damage?
- 04Have references and all other recruitment checks been completed for the six staff mentioned in the report?
- 05How does the home make sure its Outstanding level of responsiveness is maintained?
This was an unannounced inspection covering all five CQC questions and both the premises and care provided; the report also records that Effective, Caring and Well-led had fallen from Outstanding to Good since the previous inspection. This explanation was written from the published report of 4 June 2020 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, August 2017
Rated Outstanding; inspectors found exceptionally caring, effective, responsive and well-led care, with safety rated Good.
This was an unannounced inspection on 22 and 23 May 2017. Inspectors spoke with 19 people, five relatives and members of staff. They observed care and checked records, staff files, audits and care plans for nine people.
The home was rated Outstanding overall. Effective, caring, responsive and well-led were all rated Outstanding. Safe was rated Good. Inspectors found enough staff, suitable recruitment checks, safe medicines systems and good management of risks.
Inspectors found very kind and individual care. People were supported to keep their interests, relationships and routines. There were many activities, community links and spaces for families. The report says the previous inspection in February 2015 rated the home Good in all areas, so the overall rating had improved.
Kind and personal care
Inspectors saw warm relationships and care based on each person's preferences, history and wishes. Staff supported dignity, independence and meaningful daily life.
“We saw lots of laughter and tenderness. We observed an easy rapport between staff and people using the service.” from the report
Strong staff training
Staff had relevant training, induction, supervision and competency checks. The report says learning about dementia and person-centred care was seen in practice.
“People received effective care because staff were supported in their roles and received comprehensive, relevant training and induction.” from the report
Good staffing and safety systems
There were enough staff to provide timely care and individual support. Risks, equipment, fire safety and safeguarding were monitored.
“There were sufficient numbers of suitably qualified staff to keep people safe and meet their needs.” from the report
Activities and community life
People could choose from a wide range of activities, outings and social events. The home supported links with families, local groups and the wider community.
“The activity programme offered events throughout each day, seven days a week.” from the report
Learning and improvement
The home used audits, meetings and feedback to improve care. Inspectors found clear systems for monitoring quality and safety.
“There were very effective systems in place to monitor the quality and safety of the care provided.” from the report
A medicine error had occurred
minorThe report records one drug error in the previous six months. The home responded with reflective practice, supervision and supervised competency checks, but families may wish to ask what was learned.
“There had been one drug error in the previous six months” from the report
- 01The report says the manager's application to register was in progress. What is the current position?
- 02What caused the medicine error mentioned in the report, and what changes were made afterwards?
- 03Are staffing levels still similar to those described in the report, including registered nurse cover?
- 04How are people with dementia involved in choosing their activities and daily routines?
- 05How are relatives currently involved in care reviews, meetings and feedback?
This was an unannounced comprehensive inspection covering all five key questions, with 39 people living at the home at the time. This explanation was written from the published report of 4 August 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 Nursing Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- June 2020Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at The Old Rectory Nursing Home →
- August 2017Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at The Old Rectory Nursing Home →
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 2011.
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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