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CQC report explained · a nursing home

What the CQC found at Oaken Holt Nursing and Residential Home

Requires improvementpublished 20 February 2025, 19 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, February 2022

Oaken Holt Nursing and Residential Home was inspected but not rated; inspectors found good infection control and visitor arrangements during the COVID-19 review.

This was an announced, targeted inspection on 27 January 2022. It looked at infection prevention and control, and asked about staffing pressures linked to COVID-19.

Inspectors found the home was clean, tidy and fresh-smelling. They were assured that the home was using protective equipment safely, arranging testing, managing outbreaks and following current infection control measures.

Visitors were booked in safely and checked on arrival. People at extreme risk or isolating were supported by dedicated staff in a support bubble. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Clean and hygienic home

    Inspectors found the home clean, tidy and fresh-smelling. Cleaning schedules were described as rigorous.

    “The home was clean, tidy and smelled fresh. Rigorous cleaning schedules ensured the home was maintained to a safe and hygienic standard.” from the report
  • Visitor safety

    Visitors were booked at suitable times to reduce contact between visiting groups and were checked when they entered the home.

    “The service was booking visitors in at a time that suited people and was spaced out to avoid potential infection transmission with other visitors.” from the report
  • Support during isolation

    People at extreme risk or isolating could have dedicated staff supporting their care, meals and social needs.

    “People at extreme risk and those isolating were supported in creative ways, including having their own dedicated staff who provided a support bubble” from the report
  • Infection control systems

    Inspectors were assured that the home had arrangements for protective equipment, testing, safe admissions, outbreak management and visits.

    “We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently booked in and checked for infection before entering the home?
  2. 02What happens if a resident needs to isolate, and can dedicated staff support their meals, care and social needs?
  3. 03How does the home manage staffing pressures during COVID-19 outbreaks or illness?
  4. 04How often are staff and residents tested, and how is protective equipment used?
  5. 05What arrangements are in place to prevent and manage an infection outbreak?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not rate the other four questions or the service overall. This explanation was written from the published report of 15 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, November 2018

Oaken Holt Nursing and Residential Home was rated Good; inspectors found safe, kind and personalised care, with earlier medicines problems improved.

This was an unannounced inspection on 1 November 2018. Inspectors spoke with people living in the home, relatives, staff, managers and a visiting healthcare professional. They looked at care plans, staff files, medicine records and other records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training, good access to healthcare, respectful care and activities that met people's needs.

The home had been rated Requires Improvement for Safe in July 2016 because medicines were not always stored properly and records were not always accurate. At this inspection, inspectors found these improvements had been maintained. The overall Good rating stayed the same.

What inspectors praised
  • Safe medicines

    Medicines were stored securely, records were accurate and staff were trained and regularly checked as competent.

    “Records relating to the administration of medicines were accurate and complete.” from the report
  • Kind and respectful care

    Staff knew people well and supported their dignity, independence and emotional needs.

    “It was clear this culture was embedded throughout the service.” from the report
  • Skilled support

    Staff received induction, ongoing training and supervision. The home worked with healthcare professionals to meet people's health needs.

    “People were supported by staff who had the skills and knowledge to meet their needs.” from the report
  • Personalised activities

    People were offered different activities, trips and access to a well-maintained garden and the local community.

    “People were offered a range of activities they could engage in.” from the report
  • Good management

    The manager used audits, surveys and action plans to monitor the service and make improvements.

    “The registered manager monitored the quality of service provided.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and meet my relative's specific nursing, dementia or mobility needs before admission?
  2. 02How are medicine administration skills checked, and how do you make sure records stay accurate?
  3. 03How will my relative and our family be involved in creating and reviewing the care plan?
  4. 04What activities, trips and community visits would be suitable for my relative?
  5. 05How would you support my relative's wishes and legal arrangements if they could not make a particular care decision?

This was an unannounced inspection of all five key areas, including care, nursing support, the premises and how the home was managed. This explanation was written from the published report of 21 November 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Oaken Holt Nursing and Residential Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Oaken Holt Nursing and Residential Home →

  2. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Oaken Holt Nursing and Residential Home →

  3. August 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Registered with the Care Quality Commission on 4 July 2013.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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