Oxton Grange Care Home

Updated 1 February 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.

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 team consisted of 2 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.

Oxton Grange 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. Oxton Grange 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 was a registered manager in post.

Notice of inspection

The inspection was unannounced for the first day 23 November 2023 and announced for the 29 November 2023.

What we did before the inspection

We sought feedback from the local authority and healthcare 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 this information to plan and prepare our inspection.

During the inspection

We spoke with the registered manager, deputy manager a visiting advanced nurse practitioner, the maintenance team and the kitchen team. We spoke to 10 staff members, 6 relatives and 13 residents.

We reviewed 7 peoples care records, including the administration of medicines. We looked at staff files in relation to recruitment and training.

We also reviewed a variety of records relating to the management of the service, including policies and procedures, audits, accident and incident records, safeguarding records and reports.

Updated 1 February 2024

About the Service

Oxton Grange is a residential care home, providing regulated activities to up to 60 people. The service provides support to people who needed general care or Dementia. At the time of our inspection there were 57 people using the service.

People’s experience of the service and what we found:

The service was nearly at completion of an extensive refurbishment programme. The building for use by people living there, was over four floors, the ground, first, second, and third. The first floor was designated for people with general care needs, the second floor was devoted to people who lived with dementia and the third floor was a mixture of people who needed general care or who were living with dementia. The ground floor was mainly devoted to the communal areas such as the dining room and the lounge, administrative offices and had some bedrooms for people with general care needs. There was also a basement to the home, which accommodated the training room, domestic storage, laundry, kitchen and the staff room, lift access, equipment and had other storage for items such as cleaning materials.

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.

Risks to people's health, safety and well-being were effectively managed. Medicines were administered safely. The provider had effective infection prevention and control systems in place.

People told us they felt safe when receiving support from staff. Staff were well trained in safeguarding and understood how to protect people from poor care and abuse. The provider had recruitment processes in place to ensure suitable staff were employed.

Care plans had been reviewed regularly to ensure they were accurate. People and staff spoke positively about the management of the service who they felt were approachable, and always listened to their views. Systems to monitor the quality and safety of the service were in place and were well managed. The provider was open to improvement and listened and acted on feedback.

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 9 October 2018).

Why we inspected

We undertook a focused inspection to review the key questions of safe and well-led only.

For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating of Good.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Oxton Grange 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.