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Archived: The Oaks Nursing Home

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Inspection report

Date of Inspection: 30 April 2012
Date of Publication: 25 July 2012
Inspection Report published 25 July 2012 PDF

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Meeting this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

How this check was done

Our judgement

The provider was meeting this Regulation.

People living at the service, staff and visitors were protected against the risks of unsafe or unsuitable premises.

User experience

We inspected all communal areas and the bedrooms of twelve people using the service. We found the areas we visited to be clean and well maintained with no unpleasant odours.

One person we spoke with told us, “I think my room is nice, it is clean.”

We observed people had a choice of three communal lounges to use. In the main, we found these to be clean and homely with the exception of one area attached to the dining area. This area was cut off from the other lounge areas and was not as homely and comfortable as other lounges. The television was positioned on the wall where it would be difficult for people to be able to see it if they chose to. The acting manager told us there were plans to change this area in the near future.

We saw the garden areas outside the home were well maintained and attractive with access for people using the service.

We spoke with a relative who said she had noticed there were improvements being made to the environment. She felt this made the home look fresher. She said she had always found the home to be clean and tidy.

During our observations we noticed that the dining area was not large enough to enable people to sit and eat their meal without interruption. We witnessed staff often having to stand up to allow equipment and people to pass through whilst they were in the process of assisting people to eat. Sometimes these interruptions were quite protracted. The provider may wish to note that the current dining arrangements mean that people's dining experience is being affected. This may affect their appetite and diet.

Other evidence

The acting manager told us they had recently established a contract with a maintenance company, including the provision of an on call service. This meant repairs could be attended to quickly to make sure the home was safe for people to live in. Staff from this company were working in the service on the day of our inspection, making improvements to the corridors in the home. We saw a room had been renovated in order to install a new hairdressing room for people using the service. Space had also been created for a new office rather than this being at the top of the building and inaccessible for people living at the service and visitors.

The home also employed a ‘handyman’ and staff we spoke with told us he was quick to make repairs when they were reported.

The provider might find it useful to note that some bedrooms we visited did not appear to be personalised with the individual’s pictures or possessions. Two bathrooms were also quite plain and did not appear homely.

We saw evidence that fire equipment had been regularly tested and maintained by an external company to make sure it was working and safe to use. Fire equipment was accessible and fire doors were closed where specified reducing the risks to people in the event of a fire.

We found portable electrical equipment had been regularly tested and verified as safe to use.

Clinical waste removal contracts were in place with a secure waste bin outside of the home for staff to use. The laundry area was free from clutter and well organised. There was appropriate equipment in place to support staff to maintain effective infection control procedures in the laundry. The provider may find it useful to note that there was no evidence of protective equipment such as aprons and gloves available for staff in the communal toilets and bathrooms. This meant there was a preventable risk of staff assisting people with personal care without the necessary protective equipment to prevent the spread of infections.

Windows in the home were fitted with restrictors to ensure security and ensure the safety of people living at the service.