The Old Vicarage

People's experience of the service and what we found: People and their relatives told us they felt safe and were positive about the service, however, we found risks to people's health and well-being were not managed robustly. Practices did not always promote good infection, prevention and control.

Medicines were not always managed safely for people living at the service.

There were enough staff to meet people's needs and staff were recruited safely.

Not everyone was supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests as the provider had not ensured all requirements under the Mental Capacity Act (MCA) and authorisations under the Deprivation of Liberty Safeguards were fully met.

Some areas of the home were in need of refurbishment. Improvements could be made to the environment to support people living with dementia.

Care was not always person-centred and did not promote people's dignity, privacy and human rights.

Systems to monitor and improve the quality and safety of the service were not always effective. The provider had not always sent us statutory notifications which is their legal responsibility to do so for notifiable incidents. Policies and procedures were not always in line with current legislation and guidance. The registered manager informed us they were looking at introducing a new quality assurance system.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk