Oldfield House

Updated 4 March 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Oldfield House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Prior to the inspection we reviewed information and evidence we already held about the home, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. We also sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with five people who used the service and one relative about their experience of the care provided. We spoke with the registered manager, regional manager and four staff. We also spoke with a visiting healthcare professional.

We reviewed a range of records. This included five people's care plans and a range of people's medicines charts, risk assessments, staff rotas and staff recruitment records. We also reviewed a variety of records relating to the management of the service, including policies and procedures and meeting minutes.

After the inspection

We reviewed and analysed all the information gathered during the inspection.

Updated 4 March 2020

Oldfield House is a residential care home providing accommodation and personal care for up to 34 people. At the time of the inspection there were 30 people living at the home. The home supports people who require care and support due to their health needs, including people living with dementia.

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

People were safe and protected from abuse and avoidable harm. Risk assessments helped protect the health and welfare of people. People received their medicines when they needed them from staff who had been trained and had their competency regularly checked. The service was providing safe and consistent staffing levels. Infection control was well managed and the home was clean and free from odours.

Staff were well trained and supported for their role so that they could meet people's assessed needs. People's rights were protected by a staff team which understood their responsibilities under the Mental Capacity Act. People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.People told us they enjoyed meal times and were offered a variety of good quality meals. People's health and nutritional needs were met. The home worked effectively with external healthcare professionals.

People told us they were supported by staff who were kind and caring. People's dignity was maintained, and their privacy was respected. The provider ensured people's equality characteristics were met. People were supported to make their own decisions and independence.

The provider ensured people received a service that was responsive to their needs. People were supported to maintain and develop relationships and participate in activities that were relevant to them. People were encouraged to explore their end of life preferences. Care planning was personalised, and complaints were dealt with appropriately.

People, and their relatives where applicable, were encouraged to participate in meetings and/or complete surveys to express their opinions about the quality of the service. The provider had clear systems in place to monitor and audit the quality of people's care and support, and take corrective actions to respond to any deficits they found.

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 13 February 2016). There was also an inspection on 30 January 2018 however, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.

Why we inspected

This is a planned re-inspection because of the issue highlighted above.

Follow up

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