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We saw and examples of improvements that had been made as a result of audits and incidents, as well as following feedback from people and staff. A popular feature on our site is the Entertainers’ Directory, which offers an advertising opportunity to entertainers who enjoy performing to older people in retirement housing, day centre and care home settings. EAC sees itself, and this website, as one source of ‘housing options’ information and advice for older people and their families. But there are many other organisations providing valuable services, both locally and nationally. The Old Rectory provides a high standard of nursing, dementia and residential care.
The staff were happy working in the home and felt very supported in their role. They were clear about their individual roles and responsibilities and felt valued by the management team. Good leadership was demonstrated at all levels with a pro-active effort to encourage ideas from staff to further benefit the people in their care and maintain a strong, stable staff team with a shared goal. This was underpinned by use of positive language and communication and heavy investment in quality training promoting the ethos based on nationally recognised Butterfly and Eden philosophies.
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
Most ground floor rooms overlook the attractively laid-out gardens and offer ease of access for residents, staff, and visitors. High standard of compliance with statutory obligations and industry codes of recommended practice; conforms to accepted good practices in the trade. Hygienic handling of food including preparation, cooking, re-heating, cooling and storage. The Old Rectory Nursing Home does provide care for people with Dementia. Our HousingCare PLUS and PREMIUM subscription services offer additional branding, links to your own site, ‘vacancy / availability ads’ and much more.
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.
Entries are completely free, and we’re happy to work with you to ensure your service are presented in a way you’re happy with. Our National Housing for Older People Awards celebrate examples of successful retirement housing and housing-with-care. If HOOP doesn't provide all the information you need, submit your HOOP session to us to arrange a conversation with an EAC Advisor. EAC Advice is a free, specialist and independent telephone advice service provide by the charity Elderly Accommodation Counsel .
Many people, including staff, told us they wanted a period of stability. People told us that the activities and day to day life at this home has really improved. They told us about the visiting owls, about quizzes, bingo, the aroma therapist. They also told us about the dog that visits and that there are always treats available so that they can feed and pet him. There is also a large supply of bird feed and nuts and the gardens attract many birds and squirrels which residents tell us they enjoy.
Inspectorate reports and grades are accessible from the care home pages on this website. Housing-with-care is a recent but natural evolution of retirement housing to provide an environment capable of enabling older people to maintain their independence even if they become physically or mentally frail. Dementia care and support focuses upon living well with a dementia and maximising what is possible at any stage of life. This is a very specialist area in which Southern Healthcare have great passion, experience, and expertise. This is the food hygiene rating for Old Rectory Nursing Home based in Exeter City in the South West area.
People we met with told us that they are treated with respect and their views are listened to and used to help deliver their care in a way that suits them. People said they receive their personal care in private and we observed staff being discreet and helping people to maintain their dignity. Although people feel they are involved in decision making, records about people’s advance wishes were confusing and not always in line with good practice guidance. One person said, “Staff are very good, I am happy with the care”. Another person said “I am well looked after, staff are kind and considerate”. A visitor we spoke with said, "They make visitors very welcome".
Staff told us that there is a film club about to start and we saw another large screen TV being fitted to accommodate this. We were also told that reminiscence sessions are held and that opportunities are taken to celebrate national and local events. Records show that the fridge used for storing some medicines has been running at a temperature above the recommended temperature, and no action has been taken to address this. Some records are confusing in relation to the route of administration.
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