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Archived: The Oaks Nursing Home

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Inspection report

Date of Inspection: 25 January 2012
Date of Publication: 24 May 2012
Inspection Report published 24 May 2012 PDF

Overview

Inspection carried out on 25 January 2012

During an inspection looking at part of the service

We carried out this review to check compliance with a warning notice previously served, and were concerned that there might be continuing breaches of the regulations. Where areas of non-compliance were identified during inspection they are being followed up and we will report on that action when it is complete.

Most of the people who live at The Oaks Nursing Home would find it difficult to help us understand their views about the quality of the care being provided to them. We used a special tool designed to help us understand how people who have Dementia experience the care being provided to support them. We carried out our observations in two lounges and in the dining area over the lunchtime period. We looked at how staff interacted with people and how care was being provided to support people with their needs. We looked for clear and observable signs which would show us how people felt about the care they were receiving.

We found that in spite of some slight improvements, people were still not being treated with the respect and dignity they deserved. With one or two exceptions, we did not see many staff really attempt to communicate effectively either verbally or by using touch to reassure people. During our inspection we saw that people using the service appeared passive or withdrawn. We did not observe people smiling, talking or laughing, apart from when we instigated it, which shows that it was possible to engage with people living at the service.

We were very worried about how people were moved and handled and we witnessed one person sustain a serious injury following an unsafe manoeuvre. We were concerned about how staff managed restrictions to people�s freedoms which had been assessed under the Deprivation of Liberty Safeguards. This law is part of the Mental Capacity Act 2005. It aims to protect people who do not have the capacity to make their own decisions about their lives and care from unlawful restraint.

We found the staff were still not safely recruited or effectively supervised, this meant that the care being provided was not of good quality and safe. We found that the providers and manager failed to have effective systems in place to identify, assess and manage the risks to people's health safety and wellbeing. We were concerned that improvements could not be sustained.