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Okeley Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 April 2019

About the service: Okeley Care Home is a residential care home that is registered to provide support to up to 84 people. The service was providing care to 74 people aged 65 and over at the time of the inspection. The majority of people living at the service were living with dementia.

People’s experience of using this service: People told us that they felt safe, however we found medicines were not always being managed safely and we identified shortfalls in how risks were responded to and monitored. People told us they sometimes had to wait for support and we found there were not sufficient numbers of staff deployed to meet people’s needs. We observed staff were rushed at times and made observations where this had impacted on people’s dignity. We also found improvements were needed to care plans and activities. The auditing and governance at the service had not proactively identified and addressed all the issues found at this inspection.

People spoke positively about the food that was provided for them and we saw evidence of their involvement in this. Whilst care planning was not always consistent, we did see examples that were personalised and where people’s individual needs and preferences had been responded to. People spoke positively about the staff and we also observed good practice from staff in response to needs relating to people’s dementia.

There had been two changes in management since our last inspection which had led to inconsistent leadership. There was a new manager in post who shared their ideas and vision for the service with us. They had started to implement some new practice with a focus on people’s dignity and promoting independence. Staff told us they felt supported and we saw evidence that staff had received training and support for their roles.

Rating at last inspection: Good. Our last inspection was carried out in March 2016 where the service was rated as good and there were no breaches of the legal requirements.

Why we inspected: This was a planned inspection to check if the service was continuing to meet the characteristics of a good rating and to check all legal requirements were still being met.

Enforcement: Action we told provider to take (refer to end of full report)

Follow up: The provider will share an action plan with CQC and we will continue to monitor the service. We will return in line with our policy to check that the concerns we identified have been addressed and that the legal requirements are met.

Inspection areas

Safe

Requires improvement

Updated 10 April 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 10 April 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 10 April 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 10 April 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 10 April 2019

The service was not always well-led.

Details are in our Well-led findings below.