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They are provided by many local Age UKs as well as other organisations. The Care Quality Commission is the official regulator for the care sector. They inspect care homes and care services to make sure they are safe, caring, effective, responsive and well-led. Yes, The Old Rectory Nursing Home provides care designed to meet the challenges faced by people living with dementia. The Care Quality Commission is the independent regulator of health and social care in England.
Staff we spoke with knew about people's needs and how to meet them, which was in accordance with their care plans. People told us staff responded to their needs in a timely way most of the time. We observed staff were available in all areas of the home and worked with individuals at a pace that suited each person. People had access to and were involved in developing personalised activities that complemented their individual hobbies and interests. Links with the local community had been established and people were supported to participate in community events and other events that were important and meaningful to them. This was enhanced by social communal areas such as a country style pub and beer garden, lifestyle kitchen and café offering specialist coffee and snacks.
The Old Rectory Nursing Home, Exeter.
Ratings are provided by Care Quality Commission and reflects the most recent report for this care home, which was published on 4 August 2017. People said they would not hesitate in speaking with staff if they had any concerns. People knew how to make a formal complaint if they needed to but felt that issues would usually be resolved informally. Records of complaints were detailed and included detailed responses and actions taken. The system for managing medicines is not robust enough and people are at risk because of this.
Some care homes are registered to provide personal care only, for example help with washing, dressing and giving medication. Others also provide nursing, and will have a nurse on duty twenty-four hours a day. People told us the food is ‘lovely’, ‘excellent’ and ‘the best’. We also saw this service has carried out a great deal of work to ensure that everyone living here is well nourished, including those who are most at risk and frail.
Care Quality Commission inspection rating
The home made detailed assessments of people’s needs and preferences. People’s care and treatment was provide by staff who were trained to deliver effective care. If you would like a copy of the food safety officer's report for this business, you can request it from Exeter City Council. Care services offered to people in housing-with-care facilities are regulated, subject to periodic inspections and awarded grades. Wherever possible, Inspectorate reports and grades are accessible from the housing-with-care pages on this website. Daily help, including personal care, is available on site and one or more meals are available daily in a dining room or restaurant.
Accommodation, meals, and assistance with personal care and medication. There was evidence that people who cannot ask for help receive the care and attention they need. These people have their personal hygiene needs attended to frequently. The validators praised the outdoor spaces at the home including a market garden where residents can grow vegetables, along with our plans to create a dementia village. This will have a post office, an ice cream parlour and sensory planting, accessible to those in wheelchairs. Cleanliness and condition of facilities and building to enable good food hygiene.
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We found that not all records are always up to date and can contain conflicting information about people’s needs and the actions needed to address these needs. For example it is recorded in the same chart that one person has both a normal diet and a soft diet. We found that this person is given meat and sandwiches to eat, although they are at risk of choking because of swallowing problems. Medicine records were not completely up to date and medicines requiring refrigeration were not stored safely. However, we found the quality of record keeping to be below a standard that would support and promote effective care delivery, and below the standards set by the nursing and midwifery council .
It monitors and inspects services, to make sure they are safe, effective and provide high-quality care. We looked at three sets of care records and found that the quality of record keeping had significantly improved since our last visit. The care plans seen were expressed in a simple and straightforward way that enabled care workers to understand the person’s care needs and how to meet them. We found the care plans and risks assessments seen were regularly reviewed and updated. One area of record keeping identified for further improvement was accuracy of record keeping on creams used on people’s skin. Specialist care designed to meet the challenges faced by people living with dementia.
Staff spoken with were confident any allegations made would be fully investigated to ensure people were protected. We had received notifications about any safeguarding issues and the home had been open and transparent in ensuring these issues were dealt with effectively to keep people safe. We found that people were offered choices about their care and treatment and were involved in decision making.
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Staff said the home was much improved with more teamwork and understanding of their roles. One staff member said “It is so much more relaxed and organised here, a new way of working. A non-care worker said they had really enjoyed being included in attending dementia care training with the nurses and care workers and had learnt a lot as a valued team member.
Our website is free to use, we are proudly independent, and we never take referral fees. People were well cared for and were involved in planning and reviewing their care where able. Relatives and advocates were also included as necessary where people lacked mental capacity and if people wished them to be included. There were regular reviews of people’s health and staff responded promptly to changes in need.
Health professionals told us staff worked well with them and contacted them appropriately about people’s health care needs. A GP who regularly visited the home said, “The manager is very experienced and skilled and wants to keep on improving the quality of care provided”. This site offers providers of services, accommodation and related advice a free opportunity to advertise what you do. The site’s 4 million visitors a year comprise roughly 45% older people, 45% younger family and relatives, and 10% professionals who work with older people.
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