You are here

Archived: The Oaks Nursing Home

All reports

Inspection report

Date of Inspection: 8, 9 May 2012
Date of Publication: 20 July 2012
Inspection Report published 20 July 2012 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

Our judgement

The provider did not have an effective system to regularly assess and monitor the quality of the service that people received.

A change in circumstances within the home means there is no risk to people in respect of assessing and monitoring the quality and safety of care.

User experience

We spoke to people who lived at the service but their feedback did not relate to this standard.

Other evidence

We issued a warning notice to the providers requiring them to be compliant with the regulations in relation to this outcome by 17 November 2011. There had been significant change at the service since this time and we wanted to check the warning notice had been complied with.

The general manager showed us an internal auditing tool called ‘Quality Care Services’ (QCS) They told us there were plans to start using the tool to monitor the quality of the service provided, although it had not yet been fully implemented. The QCS contained planned audits for a range of areas throughout the service including care planning, catering, health and safety, safeguarding vulnerable adults and equipment safety checks.

The QCS was available on the computers at the service and there were also paper copies of the documents. We saw that staff were able to access the system to look at the policies and procedures of the home.

We spoke with the acting manager and asked her to provide us with any audits which were being completed to monitor the quality of the service provided. She showed us some blank audits and told us she was planning to implement these. The audits were to include infection control, catering, medication, accidents, incidents and complaints.

An infection control audit had been completed by the community infection prevention and control nurse and we saw the acting manager had responded to any issues raised by providing an action plan with timescales for completion.

The general manager told us a satisfaction survey had been sent to the relatives of people using the service to gain their views on the quality of the service. They told us these had not yet been returned back from relatives.

This evidence showed that although there was evidence to show the service intended to monitor the quality of the service being provided, there was no evidence to demonstrate this had been achieved. There also remained outstanding areas of non compliance following this and our previous inspection on 30 April 2012 which demonstrated that the systems in place to identify, assess and manage risks to people using the service had not been effective.