Updated 5 January 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by 2 inspectors.
Service and service type
The Old Vicarage is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Old Vicarage is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 23 November 2022 and ended on 04 December 2022. We visited the location’s service on 23 November 2022 and 04 December 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
We contacted social care commissioners who help arrange and monitor the care of people living at The Old Vicarage. We also contacted Healthwatch Kirklees. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke to 5 people who lived at the service about their experience of the care provided. We spoke with 6 members of staff which included, the registered manager, the deputy manager and 4 care workers.
We reviewed a range of records. This included 2 people's care records and medication records. We looked at 2 staff files in relation to recruitment, staff supervision and training. A variety of records relating to the management of the service, including governance records, policies and procedures were reviewed.
After the inspection
We received feedback about the service from 3 relatives and 3 healthcare professionals. We sought clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records.