Archived: Oakfield Care Home

Updated 24 March 2020

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 Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

Oakfield Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

The first day of the inspection was unannounced, the second day was announced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including the regional manager, registered manager, senior care workers and care workers. We spoke with one healthcare professional who was visiting the service.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 24 March 2020

About the service

Oakfield Care Home is a care home and was providing personal and nursing care to 22 people aged 65 and over at the time of the inspection. The service can support up to 28 people.

The home is laid out over three floors: the basement, ground and first floor. Each floor offers bedroom accommodation and all of the bedrooms, except one, include en-suite facilities. The ground floor incorporates a lounge, dining room, the registered manager’s office and medicines room. The first floor is made up of bedrooms, the nurse’s station and administrator’s office. The basement offers further bedrooms, a hairdressing salon, the kitchen and laundry room. Each floor provides access to communal toilet and washing facilities and can be accessed by the lift. A chair lift is available from the ground to the first floor. There is level access to gardens that surround the property and parking to the front.

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

Overall staff were employed safely; however, we did identify that some staff recruitment records did not include a full employment history. The provider contacted us after the inspection and confirmed this information had been collected and recorded in relevant files. People told us they felt safe and staff knew how to protect people from potential harm and abuse. Potential risks to people were assessed and monitored. Guidance was available for staff about how to keep people safe. People received their medicines and topical creams as prescribed. The provider ensured people were protected from the potential risk of infection.

People told us they were supported by staff who were kind and caring, our observations confirmed this. People were supported to retain their independence and express their views. Staff ensured people’s dignity and privacy was upheld.

People’s needs and choices were assessed and reflected in their care plans. Guidance was also available for staff so they knew how to meet people’s needs. Staff told us they received relevant support and training to carry out their roles. People were supported to eat and drink enough.

At our last inspection we made a recommendation for the provider to review their processes in relation to the mental capacity act (MCA). At this inspection we found sufficient improvements had been made and the provider was acting in line with the principles of the MCA. 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 and people spoke positively about the registered manager, staff confirmed they worked as a team to meet the needs of people. There were governance systems in place that were used to identify errors and omissions. Notifications were submitted to the commission as required. The provider had built links with local schools and religious organisations.

Rating at last inspection

The last rating for this service was Good (published June 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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.