Oakhaven Care Home

Updated 25 May 2021

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

This inspection was carried out by two 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.

Service and service type

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

The service had a manager registered with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The first day of the inspection was announced. The second day of the inspection was unannounced. Inspection activity started on 27 April 2021 and ended on 14 May 2021. We visited the service on 27 April and 7 May.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We also sought feedback from the local authority. We used all this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with one person who used the service about their experience of the care provided. We spoke with four members of staff on site this included the registered manager. We spoke with 10 relatives off site.

We reviewed a range of records including medication records, staff files in relation to recruitment and induction and five people's care records. We also looked at a variety of records relating to the management of the service, including policies, procedures, training data and quality assurance records.

After the inspection

We continued to seek clarification from the provider to validate evidence found such as, quality assurance records and recruitment files. This was provided within the requested timeframe.

Updated 25 May 2021

About the service

Oakhaven Care Home is a residential care home, providing personal care to 16 people aged 65 and over at the time of the inspection, some of whom may be living with dementia. The service can support up to 24 people.

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

People and their relatives told us they and their loved ones felt safe. They said they were supported by staff who knew them, and with whom they had or were developing good working relationships. Enough staff were deployed to meet people’s needs and keep them safe. Accidents and incidents had been documented, with action taken to prevent a reoccurrence. Staff had received training in safeguarding and knew how to identify and report concerns. People received support to manage their medicines by staff who had been trained and assessed as competent.

We found consent was discussed with people and their relatives; this was clearly documented in care plans.

The service had a clear management system in place. Staff, people and relatives spoke overwhelmingly positively about the registered manager and the support they provided. The registered manager was reported to be open, honest, caring and approachable. A range of systems and processes were used to monitor the quality and effectiveness of the service.

Overall, appropriate risk assessments were in place for people. However, some skin integrity assessments and risk management plans were not consistently recorded, and bathing records did not evidence when and why people had refused these.

We have made a recommendation in the ‘safe’ section of the full report about some areas of people’s care plans.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 August 2019) and the provider was in breach of regulations relating to safe care and treatment, need for consent and good governance.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We inspected due to concerns shared with us. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.