Oakcroft House Care Home

Updated 26 July 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.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

Oakcroft 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. Oakcroft House Care 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 however they were not present at the inspection. Instead, we were supported by members of the providers senior management team including the regional manager and regional director.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and requested information from the provider in relation to accidents and incidents.

We used all this information to plan our inspection.

During the inspection

We spoke with 13 people who used the service, 2 relatives about their experience of the care provided. We also observed interactions between staff and a number of other people who used the service. We spoke with 12 members of staff including the regional manager, regional director, senior carers, care workers, chef, and housekeeping staff. We spoke with 1 visiting professional.

We reviewed a range of records. This included 7 people's care records and multiple medication records. We looked at 4 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.

Updated 26 July 2023

About the service

Oakcroft House Care Home provides nursing care and accommodation for up to 40 people some who have physical needs and are living with dementia. The service was an adapted house. On the day of our inspection 36 people were receiving care and support at Oakcroft House Care Home.

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

The deployment of staff was not always effective in ensuring people received person centred care. People told us and we confirmed through care records, they were not always offered a bath or a shower. We have made a recommendation around this.

Staff were aware of the risks associated with people’s care and ensured that people were provided the most appropriate care. People received their medicines when needed. There were people that wanted to be independent with their medicines and staff supported them with this.

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 received appropriate training in relation to their role and were encouraged to progress. Nurses received clinical supervisions and were provided with updated clinical training. All staff were supervised in their role and staff told us that they felt supported. People told us that they were supported with all healthcare needs, and we confirmed this from records and speaking with health care professionals.

People and relatives told us that staff were kind, caring and respectful towards them. We saw examples of this during the inspection. People were supported and encouraged to remain as independent as possible and were involved in decisions around their care.

There were sufficient activities and outings for people. People who were cared for in their rooms had one to one activities provided and were protected from the risk of social isolation. Care plans were planned around people’s health care needs and staff were provided with sufficient guidance in relation to the health care needs.

There was a system in place to assess the quality of care provided. People and relatives knew how to complain and were confident that complaints would be listened to and addressed. The leadership team responded quickly to any concerns we identified including some records not always being accurate.

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 the service was good published on 7 February 2018.

Why we inspected

The inspection was prompted in part due to concerns received about the deployment of staff. A decision was made for us to inspect and examine those risks. The overall rating for the service has remained good.

Follow up

We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.

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