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Oaklands Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 March 2020

About the service

Oaklands Nursing Home provides personal and nursing care for up to 39 people. At the time of the inspection 37 people were living at the home.

The home is an adapted house with extensions. Accommodation is provided on the ground and two additional floors. Communal facilities such as lounges, and dining areas are on the ground floor.

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

People were not always supported to remain safe. For example, people had not been protected from very hot radiators, fire safety was not always robustly managed, and identified risks were not always consistently monitored to ensure people were safe and not at risk of harm.

Risk assessment tools gave staff differing findings and improvement was needed in relation to the recording of cream application. Infection control risks were in need of improvement to ensure people were not at risk.

Sufficient staff were available and recruitment procedures were in place to safeguard people. The registered manager and staff were aware of safeguarding procedures to protect people from potential abuse. Staff received training and felt supported by the management.

People’s needs were assessed prior to moving into the home and healthcare needs were met by visiting professionals. Staff received training to provide them with knowledge to be able to support people. People had their dietary needs met.

The provider was aware of improvements they could make to ensure all areas of the home were dementia friendly in providing people with signage to assist finding their way around. Outside areas were available for people to enjoy warm weather.

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 were supported by kind and caring staff who respected them and up held their privacy and dignity. People and their family members were able to express their views of the care provided. People were able to participate in fun things to do.

Care plans were in place however these did not always cover all aspects of people’s needs and how staff should ensure people’s care and support needs were to be met.

People and their relatives were positive about the management of the home. Improvements were needed to ensure governance arrangements were fully effective to provide high quality care and person-centred care.

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 requires improvement (published 24 October 2018). This service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well led sections of this full report.

Following the inspection, the provided supplied evidence of actions there had taken to mitigate areas of risk identified during this inspection. We will assess these as part of future inspections.

Enforcement

We have identified a breach good governance at this inspection. This was in relation to the monitoring of the service and ensure people were not placed at risk of harm.

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

Safe

Requires improvement

Updated 12 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 12 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 12 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 12 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 March 2020

The service was not always well-led.

Details are in our well-Led findings below.