• Care Home
  • Care home

Oak House Care Home

Overall: Good read more about inspection ratings

Chard Street, Axminster, Devon, EX13 5EB (01297) 33163

Provided and run by:
Mr H N & Mrs S J M Dennis & Mr D M & Mrs A M Baker

Latest inspection summary

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Background to this inspection

Updated 12 April 2023

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

The inspection was carried out by two inspectors. An Expert by Experience contacted relatives and friends to ask them about their views about the service. 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 House Care 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. Oak House Care Home is a care home without 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 were two registered managers in post. One of the registered managers was one of the providers, who was on leave at the time of our visit and therefore not spoken with as part of this inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the 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 used all this information to plan our inspection.

During the inspection

During our visit the home was having the lift refurbished and the main communal lounge was being decorated. This meant only 5 people were being supported in the small communal lounge on the ground floor and everybody else was being supported in their rooms. We spent time observing care and support in the small lounge and visited all the people in their rooms. We observed how staff interacted with people who used the service.

We spoke with 5 people to ask their views and with 3 visiting relatives.

We spent time with the registered manager, care manager, deputy manager and area manager during the inspection and spoke with 8 staff, which included, care staff, activities coordinator, maintenance, housekeeping and the cook.

We looked at the care records for 4 people. We checked the care they received matched the information in their records. We looked at a variety of records relating to the management of the service and a sample of the electronic medicine’s administration records.

The expert by experience contacted 6 relatives to ask them about their views of the service.

We contacted 2 health and social care professionals to ask their views and received a response from 1 of them.

Overall inspection

Good

Updated 12 April 2023

About the service

Oak House Care Home is a grade two listed building situated in the town of Axminster. The service is registered to provide care and accommodation for up to 17 people. They provide care and support for frail older people and people living with dementia. There were 16 people living at the service when we visited.

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

People experienced safe care from staff who understood how to protect them from abuse and avoidable harm.

People were supported by sufficient staff who received training to support them in their role. We discussed ensuring the communal areas were regularly monitored to ensure people were safe.

People's risks were assessed, and care plans put in place to support people in the way they wanted. Risks to people's safety were mitigated and people received their medicine as prescribed.

Where incidents or accidents occurred, these were investigated and analysed to reduce the risk of reoccurrence.

People's needs and preferences were assessed prior to their move to Oak House to ensure their needs could be met.

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 said they were well supported by the registered manager and senior team.

The home was clean, and the risk of infection was reduced by effective infection prevention and control measures being followed. The provider had refurbished some areas of the home and had plans for further development. At the time of our visit the lift was undergoing a major refurbishment and the main lounge was being decorated.

People were encouraged to eat a healthy balanced diet and staff effectively managed their identified risks associated with poor hydration and nutrition.

The management team made timely referrals to relevant professionals and implemented their guidance to achieve good outcomes for people.

The culture we observed within the service was open and friendly. The registered manager and senior team were visible throughout the service and adopted an open-door policy.

Regular audits and checks were carried out by the registered manager and designated staff. These were used to review the quality and safety of the service.

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 requires improvement (published 11 June 2022).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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 undertook a focused inspection to review the key questions of safe, effective 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 requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Oak House Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.