22 September 2020
During an inspection looking at part of the service
Oakleaf Nursing Home is a care home providing personal and nursing care for up to 59 people, aged 65 and over. At the time of our inspection 13 people were using the service.
People’s experience of using this service and what we found
We found the home was in need of redecoration and repair to provide people with a homely environment. Furniture that was being used by people was not always clean. Staff were not always following guidelines to prevent the spread of infection.
There were systems to audit and monitor the service in place, but these did not always identify issues such as gaps in the recruitment process. The provider and registered manager had improvement plans in place and had concentrated on establishing a skilled staff team and safe working practices to promote good health for people.
People’s care was not always person centred and there was a lack of meaningful activities taking place. Care plans had not been updated during COVID-19 to address the impact it was having on people’s social activities. The home could not demonstrate what steps had been taken to combat the risk of social isolation to people.
We found people were protected from potential abuse and avoidable harm by staff that had safeguarding training and knew about the different types of abuse. People’s medication was managed safely and people with health risks were regularly monitored.
We found there were sufficient numbers of staff members on duty and people felt safe. Staff spoke positively about working for the provider. They felt supported by management and valued in their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 01/10/2019 and this is the first inspection of this service under the new provider.
Why we inspected
The inspection was prompted in part due to concerns about the history of the service requiring improvement. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 remained requires improvement.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.