We carried out a review of the data available to us about Oakhaven Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Oakhaven Care Home, you can give feedback on this service.
Oakhaven Care Home is a residential care home, providing personal care to 16 people aged 65 and over at the time of the inspection, some of whom may be living with dementia. The service can support up to 24 people.
People’s experience of using this service and what we found
People and their relatives told us they and their loved ones felt safe. They said they were supported by staff who knew them, and with whom they had or were developing good working relationships. Enough staff were deployed to meet people’s needs and keep them safe. Accidents and incidents had been documented, with action taken to prevent a reoccurrence. Staff had received training in safeguarding and knew how to identify and report concerns. People received support to manage their medicines by staff who had been trained and assessed as competent.
We found consent was discussed with people and their relatives; this was clearly documented in care plans.
The service had a clear management system in place. Staff, people and relatives spoke overwhelmingly positively about the registered manager and the support they provided. The registered manager was reported to be open, honest, caring and approachable. A range of systems and processes were used to monitor the quality and effectiveness of the service.
Overall, appropriate risk assessments were in place for people. However, some skin integrity assessments and risk management plans were not consistently recorded, and bathing records did not evidence when and why people had refused these.
We have made a recommendation in the ‘safe’ section of the full report about some areas of people’s care plans.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 16 August 2019) and the provider was in breach of regulations relating to safe care and treatment, need for consent and good governance.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We inspected due to concerns shared with us. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Oakhaven Care Home is a residential care home, providing personal care to 19 people aged 65 and over at the time of the inspection, some of whom may be living with dementia. The service can support up to 24 people.
People’s experience of using this service and what we found
People were placed at unnecessary risk of harm from building work taking place within the home. The provider did not always follow good infection control practices.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Management systems failed to identify where standards were not met and opportunities for learning were missed.
People received their medicines as prescribed and were supported to move around the home safely.
Staff were appropriately trained and delivered person-centred care, based on a thorough assessment of people's needs and preferences.
People received enough to eat and drink and were supported to access healthcare services.
Staff were kind and compassionate and supported people to be as independent as possible.
The registered manager was approachable and open to feedback and they acted on people’s concerns. People who used the service were encouraged to give their views.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 17 May 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on the date the service registered with us.
Enforcement
We have identified breaches in relation to the prevention and control of infection, and how the provider managed risks linked to building work being carried out within the home. We also identified breaches in relation to consent to care and treatment, and systems designed to monitor quality and support learning.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.