Old Vicarage Care Home

Although people received the necessary support, the provider's records did not always contain details of the repositioning, and regular continence care, checks carried out by staff to reduce people's risk of skin breakdown.

We have made a recommendation about ensuring the repositioning and continence checks of people are recorded.

People told us they felt safe in the care home and care staff had received the necessary safeguarding training. There were enough suitably trained staff to meet people's assessed care needs. People's prescribed medicines were safely managed, and the provider had improved their medicines audit processes.

People who needed help to move did not always have the correct hoist sling equipment available. However, this was addressed by the registered manager during the inspection.

Care plans, on the provider's electronic care record system, were not yet fully in place, and staff did not always use the electronic record system effectively. People received appropriate care, but the provider's care records did not effectively evidence that.

We have made a recommendation about ensuring care records of all the support provided to people by staff are accurate and complete.

People gave us mixed feedback about the meals. We saw they were appetising and well presented, but the provider was in the process of reviewing their menu to take account of people's preferences.

Refurbishment was underway, and the provider had a plan for this, but some areas of the care home were not in good decorative condition.

People's care plans were in the process of being transferred onto a new electronic care record system and did not always contain evidence of involvement by people or their relatives in planning the care they

received.

People were treated with kindness and compassion by the care staff. Personal care was delivered with due regard for privacy and dignity. People told us the staff were friendly towards them.

Call bell devices were not always accessible to people. However, this was addressed by the registered manager during the inspection.

People told us they enjoyed the activities which were available to them and relatives told us they had seen an improvement in the range of available activities.

Contact with families had been maintained during the COVID-19 pandemic, as far as possible. Formal complaints were rare and were responded to appropriately. However, relatives told they had ongoing concerns about the management of people's laundry which had not been effectively addressed.

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