The Old Rectory

The home is registered to provide personal care to 29 older people with a physical and/or sensory disability. People are accommodated in the main house and a separate annexe next door to the main house. People living in the separate annexe, known as 'the cottage' were living more independently than those in the main house.

At the time of the inspection 27 people were living at the service. The inspection took place on 23 January 2019 and was unannounced.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff understood their responsibilities to keep people safe from harm. Care plans contained risk assessments and guidance for staff on how to keep people safe.

There was enough staff on duty to meet people's needs.

Medicines were managed safely. Some changes were required, which the registered manager was in the process of doing.

Staff were trained and supported in their roles.

People were supported to have enough to eat and drink.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

We saw and heard positive, caring interactions between people and staff. People spoke highly of the staff and staff told us they enjoyed their roles.

Regular feedback was sought from people and their relatives.

People received care that were responsive to their needs and preferences

There was a positive caring culture and the provider's values were embedded in the service. People and their relatives all spoke highly of the registered manager.

There were quality assurance processes in place and an ongoing quality improvement plan; all of which were being reviewed and updated.

Further information is in the detailed findings below.

The five questions we ask about services and what we found