We carried out a review of the data available to us about Nunthorpe Oaks Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Nunthorpe Oaks Residential Care Home, you can give feedback on this service.
Nunthorpe Oaks Residential Care Home is residential care home providing personal care for up to 56 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 49 people using the service.
Support was provided to people in one purpose-built building across three floors. There are several communal areas and there is a large garden for people to use.
People’s experience of using this service and what we found
People's medicines were managed safely and there were enough staff available to meet people's needs. People told us they felt safe. The staff team were consistent and had a good understanding of how to care for people who lived at the service.
Staff received regular training, supervision and appraisal. 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. Staff worked effectively with external professionals to ensure people received the support they wanted and needed. People told us staff were kind and caring. Relatives were positive about the care and support provided.
The home had been recently decorated and had a homely feel. However, the decoration and décor was not always dementia friendly. We have made a recommendation about this.
Care plans were regularly reviewed, and staff could access relevant information to ensure they continued to provide the support people needed. People were supported and encouraged to undertake activities and maintain social relationships to promote their wellbeing. There were a wide range of activities to part take in.
The registered manager was well respected by staff. Staff felt well informed and supported to undertake their roles. Systems were in place to monitor and improve standards at the service.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The provider of this service changed on 20 July 2020. The service was rated requires improvement under the previous provider and breaches of regulations were identified (report published 21 November 2019). We returned to the service on 21 September 2020 to review the key questions of safe, effective and well-led only. We found the provider was no longer in breach of regulations. However, following that inspection, the service was still rated requires improvement (report published 9 November 2020).
This is the first full inspection of the service under the new provider.
At our last inspection we recommended that procedures for managing creams and lotions were reviewed. At this inspection we found the provider had acted on these recommendations and improvements had been made.
Why we inspected
This was a planned inspection to assess the standard of care delivered by staff and award a rating under the new provider.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Nunthorpe Oaks care home is a residential care home for up to 56 older people. At the time of inspection 26 people were living at the home.
The care home supports people in one purpose-built building across three floors. There are several communal areas for people to enjoy and there is a large accessible garden.
People’s experience of using this service and what we found
We received mixed reviews about staffing levels at night and staff confidence in raising concerns. The regional manager said these concerns would be reviewed straight away. Improvements were needed to management of topical creams and records to manage risks. We have made a recommendation about these concerns. Staff had good knowledge of people’s needs. Good procedures were in place to manage the risks of infection.
People said they received good care. One person said, “I am well looked after; the care is fabulous, it’s fantastic. Staff couldn’t do more for you.” A relative said, “The staff work so hard. The best thing about the home is the caring staff.”
Staff had the right skills and experience to look after people. They took action when people’s health needs changed. People were positive about the menus. People were involved in their care. They had choice about their care and staff respected their decisions.
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.
The senior leadership team had been focused in their efforts to make improvements to the home. Quality monitoring tools had been effective in identifying where changes needed to be made. Feedback had been addressed and the culture of the home had improved. Staff said they enjoyed working at the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 20 July 2019 and this is the first inspection. The last rating for this service was requires improvement (published 21 November 2019) and there were two breaches of regulation. The previous provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
The home remains rated requires improvement. It has been rated requires improvement for two consecutive inspections.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 15 October 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective and well-led which contain those requirements.
In addition, we looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nunthorpe Oaks care home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.