Oxford House Nursing Home

Updated 21 March 2025

Oxford House Nursing Home is a care home providing nursing and residential care to up to 34 adults who may be living with dementia, sensory impairments, mental health conditions or physical conditions. At the time of the assessment, there were 26 people living at the service. There are 2 floors to the service, providing both nursing and residential care. We spoke to 17 people, 3 visitors and 8 staff including the registered manager, nominated individual, carers, nurses, administration team and an activity coordinator. We carried out our onsite inspection on 27 May 2025. Assessment activity started on 27 May and ended on 17 June 2025. The inspection was unannounced.

During this assessment, we identified breaches of regulation in relation to the environment and governance of the service. The services environments requires further improvement in order to meet the needs of people with dementia. The services governance did not identify concerns in relation to staff’s knowledge regarding covert medicines administration, some staff’s language and missing risk assessments. We have asked the provider for an action plan in response to the concerns found at this assessment. Staff were knowledgeable about people's individual care and support needs, including risks related to their care. Guidance about how to meet people’s individual care and support needs was detailed and included important information in relation to people's preferences and routines. The provider had a pre-assessment and review procedure of people’s needs. Overall, staff involved people in decisions and made sure they understood their care and support to enable them to give informed consent.

Risks in relation to people’s care and support were assessed. The service has been rated requires improvement.

Updated 21 March 2025

People told us there were enough staff to support them when they needed help. People and relatives told us they felt safe at the service. A relative said, “My loved one is safe, and staff are kind, and I visit whenever I want and have not had any complaints or worries.”

During our visits to the service the interactions we observed were mostly caring, with staff interacting with people in a person-centred way. People were supported by staff who knew them well and understood how to support and care for people appropriately. People were supported to access healthcare services to maintain their wellbeing. They were supported to eat and drink enough.

However, during the inspection we identified a staff member speaking derogatorily to a person and another person told us staff used derogative terms in relation to their area of the home.

People said that staff cared for them safely. People were happy with the management of the service and knew who to contact if they had any problems they wanted to raise. One person told us, “if I was worried about anything I would talk with [Registered manager] who is very approachable.” People said that staff promoted their independence and involved them or their families in decisions about their care.