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Oakwood Nursing Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 7 July 2021

About the service

Oakwood Nursing Home is a residential care home providing personal and nursing care to 12 people aged 65 and over at the time of the inspection. The service can support up to 29 people.

Accommodation is set out across two floors with private rooms sharing communal bathrooms. There is a communal lounge and dining area and access to a courtyard garden.

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

Risks to people from the environment and health conditions were not consistently well managed. People were not consistently protected from the risk of infection.

The providers systems and processes were not consistently effective in identifying areas of concern.

The provider did not have a registered manager in place at the time of the inspection.

There was a system for reporting accidents and incidents and the provider and manager understood the need to be open and transparent if things went wrong.

People were protected from the risk of abuse.

Staff were recruited safely and there were enough staff to meet peoples’ needs.

Medicines were managed safely.

People and their relatives were involved in the care, they were well informed of changes and received regular contact.

Staff received regular support and supervision and felt listened to by the provider and management team.

The staff and management team worked in partnership with other professionals to ensure peoples’ needs were met.

The provider and management team were in the process of reviewing the service at the time of the inspection with the aim of improving the safety and quality of the service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was requires improvement (published 23 January 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about the managerial oversight of the service. A decision was made for us to inspect and examine those risks.

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.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Oakwood Nursing Home on our website at


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the safety, quality and governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this 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


Requires improvement

Updated 7 July 2021

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 7 July 2021



Updated 7 July 2021



Updated 7 July 2021


Requires improvement

Updated 7 July 2021

The service was not always well-led.

Details are in our well-led findings below.