Care Home: The Old Vicarage

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What the care home does well People`s care plans were found to be created following a comprehensive assessment and were found to provide the basis for the care to be delivered by the staff team. Information held within the plans demonstrated that people have access to and are supported to access health care services to meet assessed needs. Discussions with people at the home indicated that they are treated with respect and their right to privacy is upheld. The service has an appropriate procedure for dealing with complaints, the records held at the home show that the service has not received any formal complaints, but have dealt with minor concerns appropriately and in a timely fashion. Discussions with some of the staff demonstrated that they have a good understanding of how to protect people from abuse and neglect, and know what to do if anyone makes an allegation of abuse, or if abuse is suspected. What the care home could do better: Although the service has a written procedure for the safe handling of medication we found that the way medication is cared for on behalf of people needed to be strenghtened. We found that the medication was not being carried forward when new quantities of medication is brought into the home. This led to some minor discrepanices being found when the medication was checked. As a result of this, we left an Immediate Requirement form, requiring that the medication quantities were checked and correct balances recorded so as to promote and protect the best interests of the people living at the home. Although there are appropriate risk assessments and care plans in place for people, we found that these needed to be strengthened to ensure that people`s best interests were promoted and protected. For example, people who have on going health needs or medical problems must have appropriate risk assessments and care plans that give details of people`s needs, the risks associctaed with those needs and the work that needs to be undertaken by the staff (or others such as district nurses or healthcare staff) to ensure that those needs are met, moniotred and evaluated in a timely fashion. Once the registered provider receives this report, and has had a chance to read through it, we will have a discussion with them regarding these issues that were identified during our visit. Random inspection report Care homes for older people Name: Address: The Old Vicarage Main Street Hornby Lancaster Lancashire LA2 8JT three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tony Brindle-Wills Date: 2 3 0 4 2 0 1 0 Information about the care home Name of care home: Address: The Old Vicarage Main Street Hornby Lancaster Lancashire LA2 8JT 01524221284 01524222578 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Anne Robson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Forrester Retirement Homes care home 15 Number of places (if applicable): Under 65 Over 65 15 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection Brief description of the care home The Old Vicarage is situated in the quiet country village of Hornby. Hornby is a small hamlet approximately 9 miles north of Lancaster. The Old Vicarage is situated just off the main road, which runs through the village and is accessible to local shops, pubs, Care Homes for Older People Page 2 of 8 Brief description of the care home churches and general amenities. The home is an impressive Victorian-style building, which previously provided accommodation to the Vicar of the next-door church. The home has a small extension built on the side and provides accommodation for four people. The home is a two storey building with accommodation on both the ground and first floors. There are bathrooms and toilets accessible on both floors. Most rooms are single (some with ensuite facilities) and two shared rooms. There is a separate dining room and lounge, and the addition of a conservatory, which leads onto the gardens, has provided an additional facility for people to use. The walled garden is well maintained and provides an excellent outdoor facility for people to use. The home is very well maintained and provides a pleasant and homely environment for those people accommodated. The current range of fees are from #370.00 to #417.00 per week. Further details over fees can be obtained from the registered manager of the home. Care Homes for Older People Page 3 of 8 What we found: People living at the home were found to be comfortable and happy. The environment was clean and tidy, and there were sufficient numbers of staff working at the home to meet the needs of the people living there. The deputy manager assisted us with the visit, as the registered manager was not on duty. We found that on the whole standards had been maintained, however, we found that some work needs to be undertaken to strenghten the systems relating to medication, risk assessments and care planning. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered provider must 22/04/2010 ensure that there is a safe system in place to maintain an accurate record of the medication held at the home. Doing this will ensure that peoples medication and healthcare needs are appropriately met, and that their best interests or promoted and protected. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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