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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

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

Meeting 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

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

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.

Reasons for our judgement

People who use the service, their representatives and staff were asked for their views about care and treatment. Annual satisfaction surveys had been sent out to staff, relatives and people using the service earlier in the year. Reports had been compiled of the findings. There were no action plans where people had indicated areas for improvement, such as the service from the laundry. The manager told us an overall action plan would be put in place. This would include the survey findings and those from the generic risk assessment of the premises which had just been completed.

We looked at records of audits. These included health and safety / maintenance, the kitchen and a pharmacy audit. Actions arising from these were also to be included in the overall action plan for the home.

There was evidence that learning from incidents / investigations took place and appropriate changes were implemented. The manager told us there had been learning from a previous inspection. This resulted in the ''resident of the day'' initiative. Each day one person's records were reviewed. This was to make sure they contained all required information, had been kept up to date and the person was receiving appropriate care. A check was also made of their room to make sure it was safe and appropriately maintained.

Risks to people's health, safety and welfare were managed well. Each care plan file contained risk assessments to reduce the likelihood of injury or harm to people. These had been regularly reviewed to make sure they were still relevant to people's individual situations.

We saw accidents and incidents were recorded at the service. We looked at the ten most recent records covering a period of approximately four weeks. Each record showed any treatment given to the person and whether their relatives had been informed. The forms were signed off by the manager or most senior person on duty. This showed senior staff had oversight of any accidents or incidents occurring at the service.

We saw there was regular monitoring of the service. Monthly senior management reports were compiled. These included speaking with staff, relatives and people using the service. Checks were made of areas such as complaints, a visual check of the premises and personnel files of new starters. Percentages of staff completing training were also included. We felt this reflected robust monitoring of the service.