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Oak Hall Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 January 2020

About the service

Oak Hall is a nursing care home providing personal and nursing care to people with a range of needs such as dementia and Parkinson’s Disease. The care home accommodates up to 55 people in one adapted building. At the time of the inspection, the service was supporting 23 people.

People’s experience of using this service and what we found

Risks to people were appropriately recorded but staff did not always follow the guidance given within risk assessments which left people at risk of harm. Staff were not utilising the call bell system correctly and people found that this was sometimes impacting on response times by staff. Medicine administration and recording practices were not always safe. Audits had not always identified these issues we found on the day of our inspection.

People gave us mixed feedback on the quality of the food at the service, but the dining experience itself was sociable. Care plans and activities required further personalisation in order for staff to know more about people and their likes and background. The environment was suited to meet people’s physical needs but further work was required to provide a stimulating environment for people with a cognitive impairment.

Despite staff not being up to date with mandatory training, people felt staff were well trained and competent in their roles. Staff had been safely recruited and were aware of their responsibility to safeguard people from abuse, and steps were taken to prevent the reoccurrence of accidents and incidents. Staff adhered to safe infection control practices.

People felt safe living at the service and able to raise any concerns they had. People and relatives were complimentary about staff’s kindness towards them, and often described them as friends or extended family. People told us staff treated them with dignity and respect and enabled them to be as independent as safely possible. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Referrals were made to healthcare professionals where required, and staff has assessed people’s needs in line with national guidance. Staff felt communication within the service was effective. Staff and people were involved in the running of the service, and felt the manager was approachable and supportive. The manager had a clear vision of improvement within the home and was creating links with the local community to facilitate this.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 15 November 2018 and this is the first inspection.

Why we inspected

This was a planned inspection as we inspect new services within 12 months of registering with CQC.

Follow up

We have identified a breach in relation to Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and have also made recommendations to the provider. We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 17 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 17 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 January 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 January 2020

The service was not always well-led.

Details are in our well-led findings below.