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Archived: Oaken Holt House Nursing & Residential Home

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Inspection report

Date of Inspection: 2 November 2012
Date of Publication: 28 November 2012
Inspection Report published 28 November 2012 PDF | 83.05 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 2 November 2012, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We spoke with five people living at the home. They told us they enjoyed the meals and were provided with plenty of food. They told us there were choices of food and they could request an alternative if required. People said there was a good range of activities at the home. We saw an art group in progress during the morning and a lively game of bingo in the afternoon. One person told us about a picnic on the lawn which their family attended. They said it was a ''Marvellous day we talked about for weeks after.'' People told us their visitors were welcome at the home. One person had been able to bring their dog with them when they moved into the home.

One person told us they were ''Very happy here.'' They said they liked the feeling of ''Safety but freedom.'' Another said ''There is always someone around if you need them, but you can also be left alone if required. There are lots of activities but no compulsion to join in.'' A third person said they enjoyed reading books from the home's library. They said staff were ''Very kind and always helpful.'' A fourth person described staff as ''Caring, wonderfully kind'' and that they always had time to talk. A fifth person told us ''There is always someone to talk to, it is not lonely.''

We heard a visitor speaking with staff. They said ''The home has dramatically improved over the last year and is now a lovely place to be. The residents (including their relative) and the staff all seem so happy. Systems all seem to be working so well and efficiently and the fabric of the building is bright, clean and welcoming now.''

We read a recent compliment written by a relative. It thanked staff for the care given and said staff had been ''Superb at overseeing his care'' and that staff ''Made him feel really cared for.'' They added ''Oaken Holt is in my opinion an outstanding home. They have also unfailingly made me feel welcome whenever I've visited him and I have always left feeling that he was in the best possible hands.''

We saw people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. A care plan was in place for each person. We read a sample of five people's care plans and associated documents. Each file provided a comprehensive account of the person's needs. Information had been regularly reviewed and updated where changes were needed. We saw care plans took into account people's wishes and their preferences. One of the files contained information provided by a relative about the person's life history and what was important to them. This helped staff provide care in a sensitive way.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We saw risk assessments had been completed in each file. These included moving and handling assessments, likelihood of developing pressure damage and nutritional screening. The assessments had been regularly reviewed to make sure information was current and reflected people's needs. We saw people were weighed regularly. A senior nurse told us people were referred to the doctor or dietitian if they were losing weight. They said they would also inform the chef in order that the person's diet was reviewed.

People’s care and treatment reflected relevant research and guidance. We saw nurses had tools available to help them manage clinical practice. This included guidance on grading pressure wounds and management of urinary tract infections. A senior nurse told us they also received email updates from the Nursing and Midwifery Council about changes in practice.

We had not received any notifications of people being deprived of their liberty at the home. Agreement to deprive people of their liberty is authorised by the Court of Protection, or by a Supervisory Body under the Deprivation of Liberty Safeguards. This is where people lack capacity to consent and would otherwise be at risk of harm.