CQC report explained · a nursing home
What the CQC found at Oakfield Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visiting, admissions, personal protective equipment, testing, hygiene, social distancing and outbreak management.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
The inspection took place on 16 February 2021 and was announced. It was a targeted inspection focused on infection prevention and control during the coronavirus pandemic.
Inspectors found that visitors were prevented from spreading infection, people were admitted safely, and staff used personal protective equipment effectively. They were also assured that testing, cleaning, social distancing and outbreak arrangements were in place.
The home supported safe visiting through pre-booked visits in a separate garden building. Staff explained COVID-19 safety arrangements to visitors before they arrived.
The home was inspected but not rated. This means the report does not give a quality rating for the service overall, or for most of the five key questions.
Safe admissions
Staff understood the infection control processes for new admissions and used personal protective equipment safely.
“Staff were experienced in the infection, prevention and control processes to support new admissions to the service.” from the report
Managed visiting
Visits were booked in advance and held in a separate building in the garden. Visitors were given information about COVID-19 safety measures before arriving.
“All visits were booked in advance by telephone and were conducted in a converted shed in an elevated section of the garden of the home.” from the report
Individual support
Risk assessments and one-to-one support were used for people who might find isolation and social distancing particularly difficult.
“This included providing one to one support and adaptions in common living areas where required to preserve their wellbeing and avoid triggering experiences.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection on 16 February 2021?
- 02How are visits arranged now, and what safety measures apply to visitors?
- 03How do you safely manage new admissions and any required isolation?
- 04How do you support people who find isolation or social distancing difficult?
- 05What ratings or inspection information is available for the areas this targeted inspection did not cover?
This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other areas were not assessed in this report. This explanation was written from the published report of 20 March 2021 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.
What inspectors found, March 2019
Oakfield Nursing Home is Rated Good; inspectors found safe, kind and personalised care, with minor concerns about infection control and dated decoration.
This was an unannounced, routine comprehensive inspection on 22 January 2019. Inspectors spoke with people, relatives, staff and the registered manager. They observed care and checked care plans, medicine records, recruitment files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were protected from abuse and avoidable risks. There were enough staff, medicines were managed safely, and people had access to food, drinks and health professionals.
Inspectors saw kind and respectful care. Care plans were detailed and personalised, activities reflected people's interests, and people were supported to make choices. The home had a homely feel, although redecoration was still taking place because some areas looked tired and dated.
Enough staff
Inspectors found enough staff to meet people's needs. The home had no staff vacancies and did not use agency staff at the time of inspection.
“There were no staff vacancies and no use of agency staff, which gave consistence to the people that lived here.” from the report
Safe medicines
Medicines were stored securely and given by trained staff whose competence had been checked. Records were clear and complete.
“Medicine administration records (MAR) were clear and easy to read and had no signature gaps when medication had been administered.” from the report
Kind and respectful care
Staff treated people with kindness, patience and dignity. They knew people as individuals and supported their choices.
“People were treated with kindness and compassion by staff.” from the report
Personalised support
Care plans included personal histories and individual needs. Activities reflected people's interests and gave opportunities to take part in the community.
“Care plans were person centred and gave good information about the whole life of the person.” from the report
Good management checks
The management used audits, feedback and improvement plans to monitor the service. Staff said they felt supported and able to raise concerns.
“The providers quality assurance system ensured people received an overall good standard of care.” from the report
Infection control practice
minorThe environment and equipment were clean, but inspectors saw some staff wearing jewellery and false nails. They also suggested reviewing whether staff followed the 'bare below the elbows' practice.
“Some staff were seen to wear jewellery and false nails which goes against current best practice around infection control.” from the report
Tired decoration
minorThe building had a homely feel, but some decoration was described as tired and dated. Redecoration was underway during the inspection.
“A program of redecoration was underway at the time of the inspection to improve the dated and tired décor.” from the report
- 01What changes have been completed since the inspection to refresh the tired and dated decoration?
- 02How do you make sure all staff follow current infection control practice, including rules about jewellery, false nails and bare below the elbows?
- 03How are people's care plans reviewed when their needs or preferences change?
- 04How do you check that staffing levels remain enough for people's needs, especially if there are absences?
- 05How are people's views and family feedback collected and acted on now?
This was an unannounced routine comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 28 March 2019 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.
Every inspection of Oakfield Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2018
Registered with the Care Quality Commission on 27 February 2018.
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.
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77 live-in carers within about an hour of Surrey
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Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
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