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Oakwood Care Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 November 2018

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

Oakwood Care Centre is situated in Stalybridge, Tameside. The home is registered with CQC for up to 18 people and at the time of the inspection provided care, support and accommodation to 12 people who required personal care without nursing.

We last carried out a comprehensive inspection of this service on 14, 18 and 22 December 2017. At that inspection we found eight breaches of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulations 2014. The breaches related to safe care and treatment; person-centred care; dignity and respect; consent to care; safeguarding service-users from abuse and improper treatment; receiving and acting on complaints; staffing; fit and proper person employed; and good governance. The service was given an overall rating of 'Inadequate’ and remained in special measures. At this inspection we looked to see if the required improvements had been made. We found that appropriate action had been taken to address the breaches we found at the last inspection and any concerns we found during this inspection were addressed during the inspection. However, we found that more work is required by the provider to ensure the robustness of governance systems to identify issues and ensure timely resolution and sustainability of improvements made. The overall rating for the service at this inspection is ‘Requires Improvement’.

The Service was working closely with the Local Authority Quality Improvement team and the staff and management team were committed to driving improvement. At the time of inspection, the team had already made a positive impact upon the running of the home.

At the time of the inspection the manager had submitted an application with the CQC to become the registered manager for Oakwood Care Centre and this was being processed. 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service had processes in place to manage risks within the home. However appropriate action was not always taken to address these issues. We recommend that the provider review the procedures in place to ensure risk is identified and safely managed.

The recruitment processes were not sufficiently robust to protect people from the risk of staff who are unsuitable to work with vulnerable people. One member of staff had begun working for the service prior to information being received from the Disclosure and Barring Service (DBS). We recommend that the provider review the systems in place for the safe recruitment of staff.

The service had an overview of staff training. Staff were receiving relevant training, competency checks and supervision. However, there were not always staff on duty during the night who could administer ‘when required’ medicines such as pain relief. We recommend the procedures for the safe management of people’s medicines is reviewed to ensure the effectiveness of peoples medicines are optimised through following the recommended guidelines.

The service was maintaining a record of accident and incidents and analysing this information to reduce the potential for reoccurrences.

People could choose what they wanted to eat and the cook knew people, their preferences and nutritional needs well.

The requirements of the Mental Capacity Act 2005 were being met. 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 support

Inspection areas

Safe

Requires improvement

Updated 22 November 2018

The service was not always safe.

People were not always protected from environmental risks. Checks were completed but appropriate action was not always identified as a result.

The systems for recruitment of staff were not sufficiently robust.

Management of people’s medicines had improved since our last inspection but there were not always suitably trained staff available at night to support people with their medicines.

Effective

Good

Updated 22 November 2018

The service was effective.

The service was working within the requirements of the Mental Capacity Act.

Staff were receiving training, competency checks and supervisions.

Staff knew people’s nutritional needs, these were clearly recorded within care files and the cook had a clear understanding about how to meet these needs.

Caring

Good

Updated 22 November 2018

The service was caring.

Staff knew people well and promoted choice and independence.

Care plans were up to date and person-centred.

People were supported to access Advocacy services.

Responsive

Good

Updated 22 November 2018

The service was responsive.

People had current care plans that reflected their care needs, preference and social history.

A range of activities were available for people to participate in.

Well-led

Requires improvement

Updated 22 November 2018

The service was not always well-led.

The service had systems in place to identify risks and maintain equipment. Not all remedial action identified had been completed.

Systems were in place to ensure that staff were competent and well trained to undertake their role. Staff felt supported by the current manager.

Systems were in place to analyse people’s feedback, accidents and incidents and this information was used to drive improvement.