Oak Manor Nursing Home

Updated 10 May 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.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Oak Manor 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.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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

Notice of inspection

This inspection was unannounced.

Inspection activity started on 24 March 2022 and ended on 06 April 2022. We visited the service on 24 March 2022.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection, including notifications the service is required to send us by law. We also reviewed the most recent local authority Provider Assessment and Market Management Solutions (PAMMS) audit which was carried out by their quality monitoring team. We used all of this information to plan our inspection.

During the inspection

During the inspection we spoke with nine staff, including the registered manager, deputy manager, clinical lead and carers. We also spoke to eleven family members of people receiving support.

We reviewed five care records, five administration records (MAR) and two staff records. We also reviewed other records, including policies and procedures, relating to the safety and quality of the service.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We continued to seek clarification from the provider after the inspection visit to validate evidence found. We looked at training data, rotas and quality assurance records. Our Expert by Experience carried out calls to relatives and we spoke with care staff to gain their feedback.

Updated 10 May 2022

About the service

Oak Manor Nursing Home is a residential care home which provides nursing and personal care for people. The service can support up to 61 people and specialises in providing care for people living with dementia.

There were 22 people using the service at the time of our inspection. The premises are in a rural setting with all facilities on the ground floor.

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

Refurbishment at the service had been undertaken since our last inspection, addressing concerns we had previously identified in relation to suitability of the garden area and improper use of fire exits. At this inspection, we identified further repair work that was required, which the service had not independently identified. However, these repairs were undertaken immediately during the inspection.

This location has not been fully compliant with regulations since it was inspected on 11 February 2019. Their has been ongoing concerns with maintaining compliance and the acceptable level of safe care.

Care plans detailed how to support people in their daily life's. Ensuring risks were assessed to keep the person safe.

Medicines were stored securely for the safety of the people supported. Medicines were well audited to ensure people received their medicines as directed/ prescribed.

People were comfortable in the setting and were observed having positive interactions with staff.

Families spoke positively about the staff and felt that their loved ones were safe and well supported.

People were involved in planning and reviewing their support. Care plans were shaped around the person’s preferences.

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.

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

The last rating for this service was inadequate (published 21 December 2020) and there were breaches of regulation 15 due to the premises not being maintained, regulation 12 due to provider not assessing and monitoring risk, regulation 19 due to a failure to report significant incidents and regulation 17 due to the quality and safety of the service not being assessed and monitored .

The 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.

Exiting special measures

This service has been in Special Measures since 21 December 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last 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.