Background to this inspection
Updated
20 July 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
The Old Rectory Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave one hour notice of the inspection because we needed to ensure that we took into account any precautions in place due to the management of the COVID-19 pandemic.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in their action plan. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records which included people’s care records and medication records. A variety of records relating to the management of the service, including audits, health and safety checks and recruitment records. We spoke with the registered manager, clinical lead, two nurses, a team leader, a carer, the maintenance person, an administrator and four domestic staff.
After the inspection
We spoke with the relatives of three people about their views of the service. We continued to seek assurances from the registered manager who sent us copies of records including staff duty rotas, audit documentation and the dates of staff training and supervision.
Updated
20 July 2021
About the service
The Old Rectory Nursing Home is a care home providing personal and nursing care. There were 24 people living at the service at the time of the inspection most of whom were older people living with dementia and other age-related conditions. The service can support up to 35 people.
People's experience of using this service and what we found
There had been significant improvements made to the management and oversight of the service. A new manager had become registered and a new management team had been deployed. Systems introduced to monitor and assess the quality of the service had driven improvement in the quality and safety of the service people received and the accuracy of records. People had benefited from changes to the environment and décor which made the service feel more homely and relaxed.
Staff at the service followed national guidance in relation to infection prevention and control and wore personal protective equipment (PPE) appropriately. The service was clean and hygienic, and people’s relatives felt their loved ones were safe.
Staff had completed the required training that the provider considered to be mandatory. The recruitment of staff was safe and there were enough staff on duty to meet people’s needs. People received their medicines when they needed them from trained nurses. Risks to people’s health and safety had been assessed and mitigated and equipment had been serviced and maintained. Accidents and incidents were recorded and reviewed in order to minimise the risk of reoccurrence.
People's relatives spoke highly of the registered manager and staff team who they described as kind and caring. They told us they felt informed and that staff morale had improved.
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 (19 November 2020) and there were was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced focused inspection of this service on 21 August 2020. At which a continued breach of legal requirement was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the governance of the service.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain the requirement and area of practice that needed to improve.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Old Rectory Nursing Home on our website at www.cqc.org.uk.
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.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.