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We are carrying out a review of quality at Oldfield Manor. We will publish a report when our review is complete. Find out more about our inspection reports.

Reports


Inspection carried out on 23 July 2019

During a routine inspection

About the service

Oldfield Manor is a residential care home providing personal care to 15 people at the time of the inspection. The service can support up to 17 people in one adapted building. Bedrooms comprised of 15 single bedrooms and one double bedroom, five of which had en-suite facilities, spread over two floors. There was a lift to access the first floor. There was sufficient washing and toilet facilities for people. People had access to a number of communal areas, including quiet spaces and a garden.

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

People received care and support that was exceptionally person-centred and was embedded in the service. The registered manager and staff had an excellent understanding of people’s needs and desired outcomes. Electronic care plans holistically reflected people’s needs in a personalised way and identified people’s choices, wishes, preferences and things that were important to them. We saw people had achieved extremely positive outcomes. A person told us, “I have a much better quality of life here.”

The registered manager and staff were passionate about supporting people to develop and maintain relationships and people were exceptionally well supported to take part in activities to avoid social isolation. We saw exceptional examples of how people had made significant improvements and achieved their goals as a result of the support from the service.

People told us they felt safe. Staff were knowledgeable regarding safeguarding and had access to policies and procedures. Risk assessments had been completed to keep people safe and equipment was regularly serviced. Accidents and incidents were recorded, and evidenced lessons learned. Robust recruitment systems and processes were in place. The premises were clean, and staff followed infection control and prevention procedures.

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. People's needs were assessed, and care was planned and delivered to meet legislation and good practice guidance. People were provided with a nutritious and varied diet. Staff were supported through induction, robust training and regular supervisions and appraisals.

Staff were kind and caring. People told us, “I like the staff, they are caring. They make my life better” and “The staff are good. They talk to me in a kind way. The staff are the best thing about living here.” People appeared comfortable around staff. Consideration had been made to the Equality Act 2010 and people were protected against any discrimination. People told us staff respected their privacy and dignity and supported them to be as independent as possible.

The service was well-led. We received positive feedback about the registered manager and staff felt supported in their roles. The registered manager ensured they sought feedback about the service from people, family, external professionals and staff to drive and improve the service. Systems were in place to monitor the quality of care provided and continuously 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

The last rating for this service was good (published 18 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 19 April 2017

During a routine inspection

Oldfield Manor is a residential care home, registered for 17 people and currently provides support to older people and people with a diagnosis of a mental health condition. The service is over three floors, with the third floor being office space for the registered manager and staff members. There is a lift in the service for people to access the first floor.

At the last inspection the service was rated overall Good. This was an unannounced inspection which took place on the 19 and 20 April 2017. At this inspection we found the service remained Good.

The service was meeting all the relevant fundamental standards. People who used the service told us they felt safe and well cared for. Risk assessments were in place to keep people safe.

New staff members were expected to undertake an induction prior to commencing their employment. Staff members told us they felt supported in their roles and were adequately trained to meet the needs of people who used the service.

People who used the service told us staff were caring. We saw people were supported to remain independent.

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.

There were regular opportunities for people who used the service to access the local community and partake in activities within the service. Care plans in place were person centred and people were involved in the reviewing of these.

All the people we spoke with, including their relatives, knew who the registered manager was and told us they were approachable. The service had effective processes and systems in place to ensure the service was monitored and improved.

The registered manager told us the service was undergoing a programme of refurbishment. We saw one bedroom had been modernised and the kitchen was being extended. Further work was being planned.

Further information is in the detailed findings below.

Inspection carried out on 08 January 2014

During a routine inspection

We carried out this inspection on 08 January 2015 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The service is registered to provide nursing or personal care for 17 elderly people. On the day of the inspection 15 people resided within the home.

We last inspected this service in January 2014 when the service met all the standards we inspected. This unannounced inspection took place on the 08 January 2015.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service told us they felt safe and felt able to voice any concerns to the manager, staff or their families.

The Mental Capacity Act 2005 (MCA 2005) sets out what must be done to make sure the human rights of people who may lack mental capacity to make decisions are protected. The Deprivation of Liberty Safeguards (DoLS) provides a legal framework to protect people who need to be deprived of their liberty to ensure they receive the care and treatment they need, where there is no less restrictive way of achieving this. Staff understood their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS). We found action had been taken where necessary to ensure people’s capacity to make their own decisions had been assessed. Where any restrictions were in place we found these were legally authorised under the Mental Health Act 1983 or with people’s consent.

Staff were recruited using current guidelines to help minimise the risk of abuse to people who used the service.

People had signed their consent to agree to their care, treatment and the administration of medication. People also signed to say they had received key documents such as the statement of purpose, service user guide, terms and conditions and the complaints procedure. We have made a recommendation to record people’s permission before taking their photograph for identification purposes in documents such as care plans or medication sheets.

The environment was well maintained and people were able to help choose the décor or furnishings to make the environment more homely to them.

Staff told us they received a recognised induction, completed enough training to feel confident in their roles and were supervised. Staff felt supported at this care home.

People’s needs were regularly assessed and updated. Staff were updated at each shift at their handover sessions.

The administration of medication was safe, staff competencies were checked and the system audited for any errors by the registered manager and the local pharmacy.

People who used the service, staff and other agencies were asked for their views about how the service was performing. We saw that the registered manager had taken action to provide a better service from the views such as updating the décor and improving the laundry service.

The registered manager audited systems at the home, including infection control and the environment. Gas and electrical equipment was maintained to help keep people safe.

The service used external agencies such as age concern to try to improve activities. As a result 7 people attended a computer course to learn how to access social media to help them keep in touch with family and friends. Other activities were provided to help keep people stimulated.

Inspection carried out on 6 January 2014

During a routine inspection

During our visit we spoke with three people living in the home, one visitor and three staff.

People told us they were happy with the care and support they received. We observed staff treating people in a friendly and respectful way. People told us they were happy with the care and support they received and had no complaints about the service. Comments from people living in the home included, �It�s a good place and staff are kind to me�, �I am well looked after here�. A visitor said, �I can�t fault the care; it�s a nice place�.

The staff team was stable and all staff had undertaken training that gave them the skills and knowledge to meet peoples' needs. People were happy with the staff team. Comments included, �They have been here many years; they are very good� and �Staff are very nice�.

Inspection carried out on 12 March 2013

During an inspection looking at part of the service

People spoken with told us they were happy with their care and accommodation and said they were treated well by the staff at the home. They told us that they liked the shower room since it had been redecorated and one person said, �I don�t use it much but it looks better�.

We found that work had been done to improve the shower room and ensure the safety of people who use the service.

We found there was an up to date homes maintenance log which identified how the premises would be maintained with timescales.

During a brief tour of the home we found the home to be clean and warm.

We found that an extractor fan had been installed in the communal smoking area which ensured the home was free from preventable offensive odours.

Inspection carried out on 14 January 2013

During a routine inspection

We spoke with people who used the service. They told us they were happy with their care and accommodation and said they were treated well by the staff at the home. They told us, "The staff are nice here� and �The staff help me with my personal care like washing and keeping myself clean�. They made comments about the service which included, �It�s a nice home� and �I am comfortable here� also� The food is good. There is always enough�. They told us they felt safe and well protected in the home and they were always given choices about the care they received. People spoken with said, �The staff always ask me what I want to do� and �The staff care about us�.

Inspection carried out on 1 November 2011

During a routine inspection

People using the service told us they were satisfied with the care and services they received at Oldfield Manor. They could make choices and decisions about matters that affected them.

They said staff treated them well, that they were enabled to maintain their independence and they were treated with respect.

�Yes it�s good here, I�m happy�.

�I�m comfortable�.

�The staff are very good to me�.

They also told us that they were keeping in touch with family and friends.

People said they were getting support with healthcare needs, that they had ongoing attention from health care professionals.

Everyone we spoke with made positive comments about the catering arrangements, they said, �The staff are good, the food is good here�.

We received positive comments about the accommodation and facilities provided at Oldfield Manor. People said that the home was being kept clean and one person said, �I like where I live�

People said that the staff are lovely. "They are very kind to me�.

People using the service told us they were satisfied with the care and services they received at Oldfield Manor. They could make choices and decisions about matters that affected them.

They said staff treated them well, that they were enabled to maintain their independence and they were treated with respect.

�Yes it�s good here, I�m happy�.

�I�m comfortable�.

�The staff are very good to me�.

They also told us that they were keeping in touch with family and friends.

People said they were getting support with healthcare needs, that they had ongoing attention from health care professionals.

Everyone we spoke with made positive comments about the catering arrangements, they said, �The staff are good, the food is good here�.

We received positive comments about the accommodation and facilities provided at Oldfield Manor. People said that the home was being kept clean and one person said, �I like where I live�

People said that the staff are lovely. "They are very kind to me�.