Archived: Oldfield House Residential Care Home

Updated 16 August 2018

We carried out this inspection 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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 24 and 25 July 2018 and the first day was unannounced. On the second day the service was aware we would be returning.

The inspection team consisted of one adult social care inspector.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make.

Before the inspection we reviewed the information we held about the service such as notifications, complaints and safeguarding information. We obtained the views of the local authority safeguarding and contract monitoring team and local commissioning teams. We also contacted Healthwatch to see if they had any feedback. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

During the inspection, we used a number of different methods to help us understand the experiences of people who lived in the home. We carried out observations in the public areas of the service and undertook a Short Observational Framework for Inspection (SOFI) during the lunchtime period. A SOFI is a specific way of observing care to help us understand the experience of people who used the service who could not talk with us.

We spoke with four people who used the service and one visitor. We also spoke with the registered manager, operations director, three care staff, a cook and a housekeeper.

We looked at a sample of records including four people's care plans and other associated documentation, three staff recruitment and induction records, staff rotas, training and supervision records, minutes from meetings, complaints and compliments records, medication records, maintenance certificates and development plans, policies and procedures and quality assurance audits.

Updated 16 August 2018

This inspection took place on 24 and 25 July 2018. The first day was unannounced.

Oldfield House Residential Care Home provides accommodation and personal care for up to 19 people. The home caters for older people, including those living with dementia. The home has bedrooms and bathrooms on both the ground floor and first floor, with three rooms having en-suite bathrooms. On the day of our inspection there were 15 people residing in the service.

Oldfield House Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

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

At our last inspection of 10 and 11 July 2017 we found breaches of Regulations 10, 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in respect of privacy and dignity, safe management of medicines and storage of confidential information.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions, is the service safe, Is the service caring, Is the service well-led, to at least good. We checked the action plan had been followed during this inspection and found significant improvements had been made; we have rated this service as Good overall.

The registered manager had considered risks that people presented with. We found risk assessments were in place in relation to skin integrity, mobility, falls and nutrition. These provided guidance to staff on managing risks.

Equipment that was available throughout the service, such as, hoists, stand aids, walking frames and wheelchairs, had been maintained and serviced regularly to ensure they were safe for use.

All the people we spoke with who used the service and staff members, told us there were sufficient staff on duty every day. We observed throughout our inspection that staff were not rushed and had time to sit and chat with people.

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.

Staff told us, and records we looked at showed, that staff undertook an induction when they commenced employment within the service. Training records showed that staff had access to many different courses.

We saw the registered manager worked well with other healthcare professionals and services when people were moving into the home. Records evidenced that GP’s, district nurses, podiatrists and other health care professionals were contacted to meet people’s health care needs.

All the people we spoke with were very complimentary about the meals in the service. We saw people were given plenty of choices over the meals they had. Those who required support with eating their meals were supported in a sensitive manner.

During the inspection, we observed staff interacted with people in a sensitive, respectful and caring manner. We saw staff lowered their tone if they were speaking about a personal issue with someone, would bend down to the same eye level as the person they were speaking to and allowed people the time to express themselves.

Care plans we looked at were person centred. These were detailed to meet people’s needs and to direct staff. We saw people were involved in the development and review of these.

Records we looked at showed that the registered manager continuously sought ways to improve the service.

Policies and procedures were in place to guide staff in their roles. We saw these had been reviewed and necessary updates made.