Oakview Care Home

Updated 9 May 2024

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 an operations manager, an inspector 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

Oakview 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. Oakview 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.

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 all this information to plan our inspection.

During the inspection

We spoke with 12 people about their experience of living at the service. We spoke with 20 relatives and friends of people who use the service. We spoke with 10 staff members including the registered manager and provider, nurses, maintenance, domestic staff, care staff and administration staff. We reviewed multiple care records and medicine records and 4 staff recruitment files. We reviewed a range of records including those that related to how the service was monitored, how staff were trained and the provider’s policies.

Updated 9 May 2024

About the service

Oakview Care Home is a ‘care home’ providing personal and nursing care. Oakview Care Home accommodates 97 people in 1 building across 4 separate units, each of which have separate adapted facilities. Two of the units specialises in providing personal and nursing care to people living with dementia. At the time of our inspection there were 90 people using the service.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support:

People had not always had all of the risks associated with their care assessed or mitigated. Care plans needed further information about how to reduce risks in people’s care. Fire safety risks and people’s health conditions needed to be fully considered.

People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice.

People received their prescribed medicines. However, guidance on the use of people’s ‘as and when’ (PRN) medicines needed to be improved.

Staff demonstrated understanding and knowledge of people’s individual needs, including their healthcare needs.

Right Care:

Staff demonstrated knowledge and understanding of how to recognise and report abuse. Records showed staff had received adequate training.

There were enough staff to meet people’s needs. People were treated with dignity and respect.

Right Culture:

Systems in place to review the quality and safety of the service were not always effective. We identified care records were not always reflective of people’s needs and risks and lacked information regarding people’s health and care needs. The provider’s management of fire safety risks to people needed to improve.

Systems were in place to ensure people, staff and relatives could feedback on the care delivery; evidence showed this was acted upon.

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 01 April 2021.

Why we inspected

The inspection was prompted in part due to concerns received about risk management, incidents of a safeguarding nature and governance. A decision was made for us to inspect and examine those risks.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We have identified breaches in relation to risk management and good governance 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.