The Old Rectory is a nursing home which can accommodate up to 39 older adults who need residential or nursing care. The home is a family owned business with the owners being fully involved in the day to day running of the service. Bedrooms have either en-suite or vanity facilities within them.

On the day of this inspection there were 34 people living at The Old Rectory.

At the last inspection on 9 December 2014 the service was rated Good. At this inspection we found the service remained Good.

People and relatives told us the staff were kind, caring and very helpful. They said the service and care was excellent. Comments included “I am very happy here”, “The staff are very good” and “The staff are very nice.” People told us that the food was very good. Relatives confirmed that people were safe with the staff and within The Old Rectory.

People and relatives told us that they had no concerns or complaints about the service. They were aware of and had access to the registered provider’s complaints policy and would speak to staff if they had any concerns.

Care plans were well documented and held good information about the individual person. Risk assessments were in place as needed and were individually tailored to each person’s needs. All documentation was up to date. Medication was administered safely.

People were supported by staff who were knowledgeable about them and who had undertaken sufficient training to meet people’s needs. Staff recruitment was robust and prospective staff undertook appropriate checks prior to starting work at the service. Staff had good supervision and were encouraged to attend meetings.

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. Staff were aware of the safeguarding policies and procedures and had received training in safeguarding adults.

The environment was well maintained with good décor and was clean.

The registered manager used a range of methods to assess, monitor and improve the service. These included regular audits of the service and staff and service user meetings to seek the views of people about the quality of care being provided. A wide range of compliments had been received regarding the service.

This inspection took place on 9 December 2014 and was an unannounced inspection. The last inspection of The Old Rectory took place on the 9 May 2013 when it was found to be meeting all the regulatory requirements looked at during the inspection.

The Old Rectory Nursing Home can accommodate up to 39 older people. The home provides services for people who need nursing care. On the day of our inspection 33 people were accommodated at the service.

There was a registered manager in place at the home. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found that the people who lived at The Old Rectory Nursing Home and their relatives felt the care they received was good. The Old Rectory was a family run service and as far as possible the people who ran the service tried to provide a family atmosphere.

People were given choices as to how and where they spent their day and what they ate at mealtimes. The home was clean and fresh and the management of the home had systems in place to make sure that people were safe.

From our observations, and from speaking with people who lived at the home, relatives and staff we found staff knew people well and were aware of people’ preferences and care and support needs.

We found the staff followed the Mental Capacity Act 2005 for people who lacked capacity to make decisions for themselves and the provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

The registered provider had robust recruitment checks in place so that people were protected from being supported by unsuitable or unsafe staff.

People’s nutritional needs were met and they told us the food was good and they had a choice.

Staff involved people in choices about their daily living and treated them with compassion, kindness, and respect. People were supported by staff to maintain their privacy, dignity and independence. Everyone looked clean and well-cared for. People had access to activities and relatives and friends were able to visit the home at any time.

People told us there were enough staff to give them the support they needed. We looked at the duty rotas and spoke to people and staff about the numbers of staff on duty. We found there were adequate numbers and skill mix of staff on duty to meet the needs of people living at the Old Rectory.

Staff training had taken place and all staff were up to date with mandatory training so that people could be confident they were properly cared for.

People knew how to make a complaint and the complaints procedure was displayed in the entrance hall of the home.

People we spoke with said they were able to express their views at any time and that they were listened to.

We saw that the leadership and management of the home was good and there were systems in place so that the quality of the service was effectively monitored.

The people we spoke with said that they liked living in The Old Rectory and could make choices about how they spent their day. They said that staff treated them well, were very good and were all very positive about living there. They told us that they know all the staff as they had been there for a long time and that they were all very respectful and always knocked on their bedroom door and waited to be invited in. One person told us "'the staff are lovely and know what I like." People said that "the staff are great "the staff are wonderful." Relatives spoken with said that "staff always keep me informed" "the care is second to none" " I trust the staff completely" "It is a real family atmosphere"

We saw that some positive feedback had been received about the service from the surveys. Comments from the surveys were the; place is always spotless; I like the family feel; very satisfied with all aspects of cleanliness" "ironing service is excellent; "level of communication is excellent." Comments made by people living at the home were made such as "you can speak with anybody anytime if you are worried about anything".