Oakcroft House Care Home

Oakcroft House Care Home provides nursing care and accommodation for up to 40 people some who have physical needs and are living with dementia. The service was an adapted house. On the day of our inspection 36 people were receiving care and support at Oakcroft House Care Home.

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

The deployment of staff was not always effective in ensuring people received person centred care. People told us and we confirmed through care records, they were not always offered a bath or a shower. We have made a recommendation around this.

Staff were aware of the risks associated with people’s care and ensured that people were provided the most appropriate care. People received their medicines when needed. There were people that wanted to be independent with their medicines and staff supported them with this.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff received appropriate training in relation to their role and were encouraged to progress. Nurses received clinical supervisions and were provided with updated clinical training. All staff were supervised in their role and staff told us that they felt supported. People told us that they were supported with all healthcare needs, and we confirmed this from records and speaking with health care professionals.

People and relatives told us that staff were kind, caring and respectful towards them. We saw examples of this during the inspection. People were supported and encouraged to remain as independent as possible and were involved in decisions around their care.

There were sufficient activities and outings for people. People who were cared for in their rooms had one to one activities provided and were protected from the risk of social isolation. Care plans were planned around people’s health care needs and staff were provided with sufficient guidance in relation to the health care needs.

There was a system in place to assess the quality of care provided. People and relatives knew how to complain and were confident that complaints would be listened to and addressed. The leadership team responded quickly to any concerns we identified including some records not always being accurate.

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 the service was good published on 7 February 2018.

Why we inspected

The inspection was prompted in part due to concerns received about the deployment of staff. A decision was made for us to inspect and examine those risks. The overall rating for the service has remained good.

Follow up

We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Oakcroft House Care Home on our website at www.cqc.org.uk.

At the last inspection, the service was rated Good.

At this inspection we found the service Good.

Why the service is rated Good

Staff managed risks to people safely. Where incidents had occurred, the staff took appropriate action to keep people safe. Staff understood how to identify and respond to suspected abuse. People lived in an environment in which the risk of infection spreading was appropriately managed. People’s medicines were managed safely and appropriately.

Staff treated people in a caring, considerate and respectful way. People told us that they felt staff were kind towards them. People’s choices were considered in the delivery of care. Visitors were encouraged and made to feel welcome at the service.

People were supported to prepare and eat food that they liked in line with their dietary requirements. Staff had sufficient training and supervision to carry out their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s needs and choices were assessed and people were involved in important decisions and choices. Staff worked alongside healthcare professionals and other organisations to meet people’s needs.

There were sufficient numbers of staff to support people. People received personalised care that reflected their needs, interests and preferences. People had access to activities that reflected what was important to them. Regular reviews were undertaken and any changes to people’s needs were actioned by staff. Staff communicated any changes in care with each other. The provider had a clear and accessible complaints procedure.

The registered manager worked alongside staff and was actively involved in people’s care. Systems were in place to involve people and staff in the running of the service. The provider carried out checks on the quality of the care that people received and maintained up to date records. The provider built links with organisations and agencies to ensure that people benefitted from.

Further information is in the detailed findings below

People who used the service told us that staff asked for their consent before they undertook any tasks with or for them. One person told us, “I can make decisions about myself and what I want to do during the day.” Another person told us, “Staff helped me to get dressed but they always ask me if I am ready for their help.”

People told us that they liked the food provided and they were able to choose the food they wished to eat. One person told us, “The food here is very nice, always fresh and hot.”

People told us they knew what their medicine was for and that staff would remind them if they forgot. They stated that they always received their medicines at the appropriate times. They told us that staff always treated them with respect.

People told us that they believed information about them was kept safe and secure by staff at the service.

We found the service was compliant with the five outcomes we looked at.