CQC report explained · a residential care home
What the CQC found at The Old Vicarage
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, December 2020
The Old Vicarage was inspected but not rated; inspectors were assured that infection control arrangements were safe.
This was an announced, targeted inspection on 08 December 2020. It checked infection prevention and control arrangements because of coronavirus outbreaks in care homes.
Inspectors were assured that the home was managing visitors, social distancing, shielding, admissions, PPE, testing, cleanliness and possible outbreaks. They were also assured that the infection control policy was up to date.
The home supported people to exercise and go into the community. Staff supported residents in a person-centred way while taking account of safety.
The service was inspected but not rated. This was not a full inspection of all areas of care, so it does not provide an overall quality rating.
PPE arrangements
Staff were using PPE in line with government guidance, with designated areas for putting it on and taking it off.
“Staff were wearing personal protective equipment (PPE) in line with government guidance and designated areas were set up within the service for staff to remove and apply PPE.” from the report
Infection control
Inspectors were assured that the home had arrangements covering visitors, testing, cleanliness, social distancing and the prevention or management of outbreaks.
“We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
Maintaining wellbeing
People were supported to exercise regularly and to go out into the community.
“People were supported to take regular exercise and to go out in to the community to maintain their wellbeing.” from the report
Person-centred support
The report says residents received person-centred support while safety was considered.
“Residents were supported in a person centred manner whilst ensuring safety for residents and staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection on 08 December 2020?
- 02How do you currently manage visitors and social distancing when there is an infection risk?
- 03How do you make sure people can continue to exercise and go into the community safely?
- 04What evidence can you provide about the quality of care in effective, caring, responsive and well-led areas, which this inspection did not rate?
- 05How do you currently provide and use PPE, and how do you manage testing and outbreaks?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the report does not give ratings for the other areas. This explanation was written from the published report of 22 December 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, June 2020
The Old Vicarage was rated Outstanding overall; inspectors found highly personalised care, with Safe, Effective and Caring rated Good.
The inspection took place on 10 March 2020. One inspector spoke with people living at the home, staff, relatives and health and social care professionals. They also reviewed care plans, risk assessments, medicines records and management records.
People received care designed around their individual needs, choices and communication. Inspectors found strong support for independence, activities, relationships and community life. The home used technology to monitor care and identify changes quickly.
The overall rating was Outstanding. Responsive and Well-led were rated Outstanding. Safe, Effective and Caring were rated Good. The previous overall rating was Good, published in September 2017, and Responsive and Well-led improved from Good to Outstanding.
Highly personalised care
Care plans and support were tailored to each person. Staff used creative methods to understand the wishes of people who could not communicate verbally.
“People received an exceptionally personalised service that supported their very individual needs” from the report
Choice and independence
People were supported to develop skills, take positive risks and live active lives. Their activities and support were based on their interests and goals.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Strong leadership
The management structure included specialist teams, and the home used real-time monitoring to identify issues and improve care.
“There was a strong emphasis on continuous improvement. An advanced centralised electronic monitoring system was in place.” from the report
Good relationships
Staff knew people well and supported close relationships with relatives and the wider community. Inspectors observed warm and positive interactions.
“There was lots of smiling, laughter and good humour which demonstrated the strong bond between them.” from the report
Larger than current guidance
minorThe service was larger than current best practice guidance for this type of setting. Inspectors said the building's smaller, connected living areas helped reduce the impact of its size.
“This is larger than current best practice guidance.” from the report
- 01How would you tailor the care plan to my relative's communication needs and involve them in decisions?
- 02How would my relative be supported to develop independence and take part in activities they enjoy?
- 03How are positive risks assessed and reviewed if my relative wants to take part in activities such as cycling, swimming or horse riding?
- 04How would you keep our family involved in care reviews and provide regular feedback about any changes in health or wellbeing?
- 05What support would be available from the specialist teams if my relative's health or behaviour changed?
This was a planned comprehensive inspection covering all five key questions; the previous overall rating was Good, and Responsive and Well-led improved from Good to Outstanding. This explanation was written from the published report of 27 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.
Every inspection of The Old Vicarage
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2020Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 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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12 live-in carers within about an hour of North East Lincolnshire
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 £980 to £1,350 a week. 10 can care for a couple. 7 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
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.