Archived: Oldbury Grange Nursing Home

Updated 8 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by three inspectors.

Service and service type

Oldbury Grange Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Oldbury Grange Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced. We visited the service on 5 October 2022.

What we did before inspection

We reviewed information we had received about the service since the provider's last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with seven people that used the service and eight family members of people who used the service. We also spoke with 12 members of staff including the nominated individual, head of quality care, registered manager, deputy manager, nurses, care assistants, activity workers and domestic staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We observed staff providing support to people in the communal areas of the service. We reviewed a range of records. This included eight people's care records and medicines administration records. We look at two staff members personnel files. We reviewed quality monitoring systems and a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 8 December 2022

Oldbury Grange Nursing Home is a nursing home providing personal and nursing care to up to 69 people. At the time of the inspection 56 people were using the service. The service provides support to people over 65 and younger adults including those with physical disabilities and people living with dementia.

The home is an adapted building with purpose-built extensions and accommodation is split into 4 communities over 3 floors. People have access to communal areas and large gardens.

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

People could not be assured that environmental risks at the home would be consistently managed and improvements were needed to ensure that the providers governance systems identified where unsafe conditions existed.

Improvements were needed to how some medicines were stored to maintain people’s safety. People received their medicines considering their preferences and national guideline by trained staff.

People were supported by staff who had been assessed as safe to work with vulnerable adults. People were kept safe from the risk of infection and COVID-19.

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 registered manager and staff were clear about their responsibilities. The service worked in partnership with a variety of community professionals to ensure people received any specialist support they needed.

Management sought people's views about the service and used that information to make improvements.

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

Rating at last inspection

The last rating for this service was good (published 8 December 2018).

Why we inspected

The inspection was prompted in part due to concerns received from a family member about the care provided to their relative. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

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.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified a breach in relation to the provider's governance and oversight of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.