The Old Vicarage

Inspectors found enough staff to meet people's needs during the visit. Recruitment checks were in place.

“There were enough staff to meet people's needs and staff were recruited safely.” from the report

Although inspectors found safety problems, people they spoke with said they felt safe in the home.

“Despite our findings people told us they felt safe.” from the report

Staff received induction, training and competency checks in areas such as moving and handling.

“Staff received induction and training and their competencies checked in areas such as moving and handling.” from the report

People were supported to see health professionals, and referrals to specialist services were made when needed.

“People were supported to access a variety of health professionals.” from the report

Some creams were unlocked or expired, medicine records were out of date, and guidance was missing for some medicines. This increased the risk of medicines being given incorrectly.

“Medicines were not managed safely.” from the report

Inspectors found unsecured wardrobes, missing window restrictors, fire safety problems, unlabelled food and areas that were not clean. Staff were not always following safe infection control practices.

“The provider had failed to robustly assess the risks relating to the health safety and welfare of people.” from the report

Unexplained bruising had not always been investigated or escalated. Records did not properly capture incidents, so the home could not identify patterns or learn from them.

“Systems and processes were not effective in safeguarding people from potential abuse.” from the report

Glazed panels allowed people to see into some private areas, and continence information was displayed where others could see it. The provider removed signs and covered the panels after the inspection.

“Failure to have suitable arrangements in place to protect people's privacy and dignity was a breach of Regulation 10” from the report

A person's covert medicines did not have the required capacity assessment, best-interest meeting or staff guidance. People and relatives were not consistently involved in care reviews.

“The provider was not always working in line with the Mental Capacity Act.” from the report

Audits had not identified the problems found by inspectors. Care reviews, records, statutory notifications and action plans were not consistently managed.

“The systems the provider had in place to monitor quality and safety were not effective and had not identified the concerns found on this inspection.” from the report