Archived: Oakcroft Nursing Home

Updated 29 December 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 15 and 16 November 2017 and was unannounced. Two inspectors and an expert by experience carried out the inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection, we reviewed information we held about the service including statutory notifications sent to us by the registered manager about incidents and events that had occurred at the service. Statutory notifications include information about important events, which the provider is required to send us by law. The provider submitted a Provider Information Return (PIR) to us. A PIR is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to plan the inspection.

During the inspection, we spoke to 10 people using the service and three relatives who were visiting. We also spoke with four members of care staff, two nurses, a handyman, two domestic staff, an administrator, a clinical lead/deputy manager, the provider and the registered manager. We spoke with an environmental office from the local authority who was visiting the service.

We reviewed 15 people’s care plans, their risk management plans and medicines management records. We looked at 15 staff files and information relating to recruitment, induction, training, supervisions and duty rosters. We read quality audit reports and records of management of the service that included complaints, safeguarding concerns and feedback about the service.

After the inspection, we received feedback from three health and social care professionals who were involved in the care of people living at the service.

Updated 29 December 2017

Oakcroft Nursing Home provides accommodation and personal care for older people, some of whom were living with dementia. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Oakcroft Nursing Home accommodates up to 28 people in one adapted building with a well-maintained garden. At the time of our inspection, 23 people were living at the service.

At the last inspection on 29 July 2015, the service was rated Good.

We carried out this unannounced comprehensive inspection of the service on 15 and 16 November 2017. At this inspection, we found the service remained Good.

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 sought the consent of people before delivering care.

People were happy at the service. People were protected from abuse because staff understood safeguarding procedures about how to identify and report concerns. Appropriate arrangements were in place to identify and manage risks to people’s health and well-being.

There were sufficient numbers of suitably skilled staff deployed at the service, which ensured people received appropriate care. People received support from staff who underwent pre-employment checks to determine their suitability to provide care.

People took their medicines when needed with the support of competent staff. Staff administered and managed people’s medicines in line with the provider’s procedures and best practice guidance.

People’s care needs were met because staff were trained and skilled to undertake their role. Staff received the support they required to do their work and had regular training and supervision to develop their practice.

People had access to healthcare services they needed to maintain their health. People received meals that met their nutritional and hydration needs and food preferences.

People received care which staff provided in a kind and compassionate way. People had their privacy and dignity maintained at the service. People took part in planning and making decisions about their care.

People enjoyed taking part in a wide range of activities provided at the service. Staff supported people to maintain relationships that mattered to them and ensured they were not at risk of social isolation.

People received care in line with their assessed needs. Staff were kept informed of changes to people’s needs and the support they required. Care and support plans were adopted to meet people’s individual needs.

People knew how to make a complaint and were confident the registered manager would resolve any concerns they raised. People using the service and their relatives had received the provider’s complaints procedure and understood how to escalate concerns to external agencies. The provider actively sought the views of people about the service and acted on their feedback to improve care delivery.

People using the service, their relatives and staff commended the registered manager for their leadership and management of the service. People received care and support that was monitored and audited. Improvement plans were put in place to ensure staff delivered high standards of care.

The provider and registered manager maintained close working relationships with external agencies to ensure people’s care met best practice guidance.