The Oaks Nursing Home

114 Western Road, Mickleover, Derby, Derbyshire, DE3 9GR

(01332) 510447
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Type of service
Care home with nursing

Specialisms/services
Dementia, Diagnostic and/or screening services, Mental health conditions, Caring for adults over 65 yrs

Local Authority Area
Derby

Our inspector's description of this care service (last updated 25 July 2012)

The Oaks is registered to provide the regulated activities of accommodation for people requiring nursing or personal care, treatment of disease, disorder or injury and diagnostics and screening. It provides care for up to 28 people of either gender who have Dementia.

CQC has warned Quality Care (EM) Limited that it must make immediate improvements at The Oaks Nursing Home. This page will be updated to reflect this as soon as our full report is published. Read more here.

These are the results of our most recent checks showing whether this care service is meeting each of the standards that the government says you have the right to expect.

1
Standards of treating people with respect and involving them in their care
OverallImprovements
required

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)
Improvements required
What does this mean?
Our latest inspection of this standard was:
on 30 April 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 25 July 2012
Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.

2
Standards of providing care, treatment and support that meets people's needs
Overall

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)
Meeting this standard
Our latest inspection of this standard was:
on 8 May 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 20 July 2012
Food and drink should meet people's individual dietary needs (outcome 5)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.
People should get safe and coordinated care when they move between different services (outcome 6)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.

3
Standards of caring for people safely and protecting them from harm
OverallImprovements
required

People should be protected from abuse and staff should respect their human rights (outcome 7)
Improvements required
What does this mean?
Our latest inspection of this standard was:
on 30 April 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 25 July 2012
People should be cared for in a clean environment and protected from the risk of infection (outcome 8)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.
People should be given the medicines they need when they need them, and in a safe way (outcome 9)
Improvements required
What does this mean?
Our latest inspection of this standard was:
on 8 May 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 20 July 2012
People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)
Meeting this standard
Our latest inspection of this standard was:
on 30 April 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 25 July 2012
People should be safe from harm from unsafe or unsuitable equipment (outcome 11)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.

4
Standards of staffing
OverallImprovements
required

People should be cared for by staff who are properly qualified and able to do their job (outcome 12)
Improvements required
What does this mean?
Our latest inspection of this standard was:
on 30 April 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 25 July 2012
There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.
Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)
Improvements required
What does this mean?
Our latest inspection of this standard was:
on 30 April 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 25 July 2012

5
Standards of quality and suitability of management
OverallImprovements
required

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)
Improvements required
What does this mean?
Our latest inspection of this standard was:
on 8 May 2012 during a check to make sure that the improvements required had been made
See our inspector's full report about this standard published 20 July 2012
People should have their complaints listened to and acted on properly (outcome 17)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.
People's personal records, including medical records, should be accurate and kept safe and confidential (outcome 21)
Meeting this standard
This check was based on declarations and evidence given by this care service when they registered with CQC on 21 June 2011. We have not yet carried out an inspection.

When we inspect this standard we will publish a full report.

Inspection Reports

Carried out on 30 April 2012 during a check to make sure that the improvements required had been made

What people told us during the inspection

Most of the people who live at The Oaks Nursing Home would find it difficult to help us understand their views about the quality of the care being provided to them. We used a special tool designed to help us understand how people who have Dementia experience the care being provided to support them. We observed five people who live at the service in one of the lounges over two hours starting at 11.55am. We looked at how staff interacted with people and how care was being provided to support people with their needs. We looked for clear and observable signs which would show us how people felt about the care they were receiving. We found mixed evidence about how people were treated by staff. We saw that some staff were kind and attentive, and promoted people's independence. We were concerned about the attitude and conduct of a member of qualified staff who did not assist people in a way which upheld their dignity and met their needs. We were concerned about the arrangements to keep people safe from harm and protect their rights. We saw that a person the local authority had identified as presenting a risk of harm to themselves and others was agitated with others living at the service. We witnessed incidents between her and others living at the service which staff missed as they were busy assisting others.This meant that the person and other people living at the service were at risk of harm. We were concerned about how a nurse managed behaviour which may challenge and about the restrictions on one person's freedom which was unlawful. We inspected all communal areas and the bedrooms of twelve people using the service. We found the areas we visited to be clean and well maintained with no unpleasant odours. We found continued evidence to show that staff had not been recruited safely and in a way which ensured that they were safe to work with vulnerable people. We had concerns about the conduct of a member of staff which we shared with the provider to ensure the safety of people living at the service. They shared the concerns but there was no evidence to show they had taken any action to discuss this with the member of staff or to assess their performance. This showed us that the systems in place to support staff and ensure they were competent were not sufficiently frequent, rigorous and robust.

Download report:

Inspection Report published 25 July 2012

60.33 KB

Carried out on 8 and 9 May 2012 during a check to make sure that the improvements required had been made

What people told us during the inspection

We spoke to people who lived at the service but their feedback did not relate to these standard.

Download report:

Inspection Report published 20 July 2012

45.91 KB

Carried out on 25 January 2012 during a check to make sure that the improvements required had been made

What people told us during the inspection

We carried out this review to check compliance with a warning notice previously served, and were concerned that there might be continuing breaches of the regulations. Where areas of non-compliance were identified during inspection they are being followed up and we will report on that action when it is complete. Most of the people who live at The Oaks Nursing Home would find it difficult to help us understand their views about the quality of the care being provided to them. We used a special tool designed to help us understand how people who have Dementia experience the care being provided to support them. We carried out our observations in two lounges and in the dining area over the lunchtime period. We looked at how staff interacted with people and how care was being provided to support people with their needs. We looked for clear and observable signs which would show us how people felt about the care they were receiving. We found that in spite of some slight improvements, people were still not being treated with the respect and dignity they deserved. With one or two exceptions, we did not see many staff really attempt to communicate effectively either verbally or by using touch to reassure people. During our inspection we saw that people using the service appeared passive or withdrawn. We did not observe people smiling, talking or laughing, apart from when we instigated it, which shows that it was possible to engage with people living at the service. We were very worried about how people were moved and handled and we witnessed one person sustain a serious injury following an unsafe manoeuvre. We were concerned about how staff managed restrictions to people’s freedoms which had been assessed under the Deprivation of Liberty Safeguards. This law is part of the Mental Capacity Act 2005. It aims to protect people who do not have the capacity to make their own decisions about their lives and care from unlawful restraint. We found the staff were still not safely recruited or effectively supervised, this meant that the care being provided was not of good quality and safe. We found that the providers and manager failed to have effective systems in place to identify, assess and manage the risks to people's health safety and wellbeing. We were concerned that improvements could not be sustained.

Download report:

Inspection Report published 24 May 2012

71.13 KB

Carried out on 21 March 2012 during a check to make sure that the improvements required had been made

What people told us during the inspection

We carried out this review to check whether there had been any improvements in the quality and safety of care being provided following action we had taken to protect the safety and wellbeing of people living at the service. We found that there had been some improvements in some areas as detailed below but we continued to be concerned that there were ongoing breaches of the regulations in specific areas. Where areas of non-compliance were identified during inspection they are being followed up and we will report on that action when it is complete. Most of the people who live at The Oaks Nursing Home would find it difficult to help us understand their views about the quality of the care being provided to them. We used a special tool designed to help us understand how people who have Dementia experienced the care being provided to support them. We carried out our observations in the lounge and in the dining area over the lunchtime period. We looked at how staff interacted with people and how care was being provided to support people with their needs. We looked for clear and observable signs which would show us how people felt about the care they were receiving. We saw care staff were better at communicating and interacting with people and we saw that people were being treated with more respect for their privacy and dignity. As a consequence we saw that the people living at the service looked more contented. We observed that the staff seemed better at supporting people when their behaviour was challenging. However, we were very concerned about the quality of the work undertaken by the nursing staff at the service. We had serious concerns about their practice in respect of preventing and managing pressure areas. We also found that the changes the providers had made were not sufficient to ensure compliance with the warning notice previously issued.

Download report:

Inspection Report published 2 May 2012

72.31 KB

Carried out on 29 September 2011 during an inspection in response to concerns

What people told us during the inspection

We are unable to communicate effectively with all of the people who live at The Oaks nursing home because of the nature of their needs. We used a specialist tool to observe them discreetly during the lunchtime period to check they were treated with dignity and respect and had their needs met by the staff in the way their care plan advised. We found that although the staff showed an understanding of how to treat people with dignity and respect, they did not do this in practice. In several cases, they did not follow the written plans of care. We found the staff had a very limited understanding of safeguarding and of local procedures. This meant that incidents involving people being assaulted by others had not been reported to the local authority placing people at risk of further incidents. We found the recruitment procedures were not safe and that the staff were not being properly and regularly supervised to make sure they delivered good quality care. This showed that the service was not being properly monitored by the providers and the manager and there were significant risks to people living at the service as a result.

Download report:

Inspection Report published 31 October 2011

70.2 KB

Need this report in a different format?

Contact us or call 03000 616161 to request a summary of the latest inspection report for this service in Easy to Read, Braille, BSL or other alternative formats.

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What our icons mean

	All standards were being met when we inspected the service. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service.
	At least one standard in this area was not being met when we inspected the service and we required improvements.
	At least one standard in this area was not being met when we inspected the service and we have taken enforcement action.

What does a grey cross mean

At least one standard in this area was not being met when we inspected the service and we required improvements.

What happens next

The service will tell us how it is making improvements. Once we are happy that the improvements have been made, we will update our judgement to show a green tick. Other times, we may have to carry out a 'follow-up' inspection to check improvements.

How can I get more information

Our inspector's report will give you more information about why the service received a grey cross. You can also contact the service directly or visit its website for more details on any improvements it has made.

What does a red cross mean

At least one standard was not being met when we inspected the service and we took enforcement action.

What happens next

The type of enforcement action we take depends on the seriousness of our inspector's findings, and the service must make improvements before we update the judgement on our website.

How can I get more information

Our inspector's report will give you more information about why the service received a red cross. You can also contact the service directly or visit its website for more details on any improvements it has made.

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GP services

The Oaks Nursing Home

1
Standards of treating people with respect and involving them in their care
OverallImprovements
required

2
Standards of providing care, treatment and support that meets people's needs
Overall

3
Standards of caring for people safely and protecting them from harm
OverallImprovements
required

4
Standards of staffing
OverallImprovements
required

5
Standards of quality and suitability of management
OverallImprovements
required

Inspection Reports

Carried out on 30 April 2012 during a check to make sure that the improvements required had been made

Carried out on 8 and 9 May 2012 during a check to make sure that the improvements required had been made

Carried out on 25 January 2012 during a check to make sure that the improvements required had been made

Carried out on 21 March 2012 during a check to make sure that the improvements required had been made

Carried out on 29 September 2011 during an inspection in response to concerns

Need this report in a different format?

What our icons mean

What does a grey cross mean

What happens next

How can I get more information

What does a red cross mean

What happens next

How can I get more information

Help with finding and choosing your care

More about The Oaks Nursing Home

Other run by Quality Care (EM) Limited

For people from organisations we regulate

New and featured

About us and our work

Reports, surveys and reviews

News

Hospitals

Care homes

Dentists

Care in your home

More

GP services

The Oaks Nursing Home

1Standards of treating people with respect and involving them in their careOverallImprovementsrequired

2Standards of providing care, treatment and support that meets people's needsOverall

3Standards of caring for people safely and protecting them from harmOverallImprovementsrequired

4Standards of staffingOverallImprovementsrequired

5Standards of quality and suitability of managementOverallImprovementsrequired

Inspection Reports

Carried out on 30 April 2012 during a check to make sure that the improvements required had been made

Carried out on 8 and 9 May 2012 during a check to make sure that the improvements required had been made

Carried out on 25 January 2012 during a check to make sure that the improvements required had been made

Carried out on 21 March 2012 during a check to make sure that the improvements required had been made

Carried out on 29 September 2011 during an inspection in response to concerns

Need this report in a different format?

What our icons mean

What does a grey cross mean

What happens next

How can I get more information

What does a red cross mean

What happens next

How can I get more information

Help with finding and choosing your care

More about The Oaks Nursing Home

Other run by Quality Care (EM) Limited

For people from organisations we regulate

New and featured

About us and our work

Reports, surveys and reviews

News

1
Standards of treating people with respect and involving them in their care
OverallImprovements
required

2
Standards of providing care, treatment and support that meets people's needs
Overall

3
Standards of caring for people safely and protecting them from harm
OverallImprovements
required

4
Standards of staffing
OverallImprovements
required

5
Standards of quality and suitability of management
OverallImprovements
required