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Oakwood Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 January 2020

About the service

Oakwood Nursing Home provides personal and nursing care for up to 29 older people, some of whom live with a dementia.

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

The management of medicines required improving to ensure people received their medicine’s safely and had been stored appropriately, administered according to GP instructions and followed best practice guidance.

The environment was not always clean and repairs and maintenance were required in various areas of the home. This had not always been identified or addressed in a timely manner. The prevention and control of infection required improving to ensure clinical waste was disposed of safely and appropriately.

Staffing levels required reviewing to ensure there was enough staff adequately deployed to consistently meet people’s needs in a timely manner according to their wishes. Staff received irregular supervision and did not always receive feedback on their practice.

The systems and processes in place to monitor the safety and quality of the service required strengthening. Concerns identified at this inspection had not been identified by the provider, however, the provider took immediate action to respond to the concerns raised.

People received care from staff they knew which included the use of regular agency staff. Staff had a good understanding of people's needs, choices and preferences. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.

People and their relatives were involved in the planning of their care which was person centred and updated regularly. People were supported to express themselves, their views were acknowledged and acted upon. There was a complaints system in place and people were confident any complaints would be responded to appropriately.

Staff understood their roles and responsibilities to safeguard people from the risk of harm. People’s risks were assessed at regular intervals or as their needs changed. Care plans informed staff how to provide care that mitigated these known risks. People were supported to access relevant health and social care professionals.

Staff were recruited using safe recruitment practices. Staff received training to enable them to meet people’s needs.

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

Rating at last inspection – The last rating for this service was Good (published 28 April 2017).

Enforcement

We have identified breaches in relation to insufficient management of medicines, prevention and control of infection and lack of governance and oversight of the service.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for 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.

Inspection areas

Safe

Requires improvement

Updated 23 January 2020

This service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 23 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 23 January 2020

This service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 23 January 2020

This service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 23 January 2020

This service was not always well-led.

Details are in our well-led findings below.