• Care Home
  • Care home

Archived: Oldbury Grange Nursing Home

Overall: Inadequate read more about inspection ratings

Oldbury Road, Hartshill, Nuneaton, Warwickshire, CV10 0TJ (024) 7639 8889

Provided and run by:
Oldbury Grange Nursing Home Ltd

Important: The provider of this service changed - see old profile

Latest inspection summary

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Background to this inspection

Updated 27 January 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for

the service under the Care Act 2014.

Inspection team

The inspection was undertaken by two inspectors, a specialist nurse advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Oldbury Grange is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the CQC. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The first and second day of our inspection was announced. We gave the provider an hour’s notice of our inspection visit on the first day of our visit. This was to check that procedures were in place for visitors entering Oldbury Grange, and there were no current cases of COVID-19, before crossing the threshold. We visited the service on the second day by arrangement with the provider. On the last day of our inspection visit we arrived at the service unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We looked at information shared with us by the Warwickshire Fire and Rescue Service. We sought feedback from local authorities who work with the service, and who were regularly visiting the service at the time of our inspection visit. This information helps support our inspections. We used all of this information to plan our inspection.

The provider had not recently been asked to complete a provider information return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report

During the inspection

To gain people's views and experiences of the service, we spoke with three people who lived at Oldbury Grange and thirteen people's relatives. We observed the care and support provided and the interaction between people and staff.

We spoke with the provider, the nominated individual who was also the operations manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider. In addition, we spoke with the maintenance officer, the finance and maintenance manager, the acting manager (referred to as the manager in this report) and the administrator. We also spoke with two nurses, the deputy nurse manager, a care supervisor, a team leader, two members of domestic staff and five members of care staff.

We reviewed a range of records. This included eleven people's care records, including care plans, risk assessments, charts of the daily care they received and wound management records. We reviewed 23 medicine records, two staff personnel files, including recruitment records and the provider's quality audits and checks.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Overall inspection

Inadequate

Updated 27 January 2022

Oldbury Grange is a nursing home, which provides care for up to 89 people over two floors in three units. Anker House on the ground floor provides mostly residential accommodation for people, some who are living with early on-set dementia. Hayes House on the first floor provides nursing care and Remember Me is a unit for people with more advanced dementia care needs. At the time of our inspection visit there were 88 people living at Oldbury Grange.

People's experience of using this service and what we found

There were not always enough staff on duty to keep people safe and meet their needs and requests. Staff understood the importance of risk management. However, records to support risk management were not always consistently completed. Systems and processes were ineffective in managing and responding to safeguarding concerns. Incidents were not always reported to CQC when required.

Although some improvements had been sustained since our previous inspection visit, some areas had deteriorated. At the time of the COVID-19 pandemic, the provider's infection prevention and control measures were not effective, so people were not consistently protected from the risks of cross infection. Risk management in relation to the premises was ineffective.

Since our last inspection, staff had not continued to receive updated training and guidance to ensure they could meet people's support needs. People were not effectively supported to maintain their nutrition and hydration needs and access the health care they needed. The culture and practices of the service did not support people to have maximum choice and control of their lives.

People's privacy and dignity was not always respected. The provider did not ensure that people’s care plans were up to date. Staff worked with the same people regularly, so they knew them well. People could engage in some group activities, however, not everyone had enough to do to stimulate and interest them. The environment required improvement to ensure people felt respected and cared for and to help them orientate to their surroundings.

Some staff were seen to be thoughtful and kind, spoke to people with friendliness and humour and took time to acknowledge and encourage people. When people had made decisions about their end of life care, this was documented in their care plan.

The provider had appointed a new manager since our last inspection visit. The new manager was supported by a deputy nurse manager, an operations manager, a facilities and finance manager and the provider. However, immediately following our inspection visit, the new manager and operations manager left their roles. We found the roles of the management team at Oldbury Grange were not clearly defined, to ensure ownership of their responsibilities. Quality assurance procedures were ineffective in ensuring actions were consistently taken to improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 November 2018) and there was a breach of regulation 12 safe care and treatment. The provider completed a monthly action plan after the last inspection to show what they would do and by when to improve. At this inspection the provider remained in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: safe care and treatment. We also identified breaches in Regulation 18: staffing, Regulation 17: good governance, a breach of the Regulations 2009, Registration Requirements, Part 4, 12(2) Statement of purpose and a breach of the Regulations 2009, Registration Requirements, Part 4, 18(1) Notification of other Incidents. The service has deteriorated to Inadequate.

Why we inspected

The inspection was prompted in part due to concerns received about infection control procedures and the safety of the premises. We also needed to follow up on action we told the provider to take at the last inspection.

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.

Enforcement

We have cancelled the provider's registration.

Follow up

The overall rating for this service following the inspection was ‘Inadequate’ and the service was therefore in ‘special measures’. This meant we kept the service under review.