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, safe admissions, visiting, testing, protective equipment, cleaning and outbreak arrangements. Measures were also in place to reduce COVID-19-related staffing risks.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors were assured that infection control, visiting and COVID-19 safety measures were in place.
This was an unannounced, targeted inspection on 23 February 2022. It focused on infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.
Inspectors found safe arrangements for visitors, new admissions, testing, shielding and isolation. Staff used protective equipment safely, and the home had enough supplies. The home was clean and had detailed cleaning schedules.
Inspectors were assured that the home could prevent and manage infection outbreaks. They also found measures to reduce the risks from COVID-19-related staff pressures.
The service was inspected but not rated. This means the inspection did not give a numerical rating for the overall service or for the safe question.
Infection control
The home had systems for preventing infections, including screening visitors, recording contact details, testing and safe use of protective equipment.
“The provider had established systems to prevent visitors from spreading and catching infections.” from the report
Safe visiting
Visitors could attend in line with current guidance. When physical visits were not possible, staff helped people keep in touch with relatives using technology.
“Relatives and friends were allowed to visit people consistent with current guidance.” from the report
Clean environment
Inspectors found the home clean and hygienic, with cleaning schedules and designated staff responsible for cleaning.
“The home was clean and hygienic. Comprehensive cleaning schedules were in place” from the report
Outbreak planning
The home had isolation arrangements and could change the building layout to separate people during an outbreak.
“The provider could adapt the layout of the building to support safe cohorting in the event of an outbreak.” from the report
Risk assessments still being developed
minorAt the visit, individual COVID-19 risk assessments for residents particularly at risk were not yet complete. They were provided after the inspection and inspectors described them as robust.
“At inspection, the registered manager was in the process of developing individual risk assessments for residents at particular risk from COVID-19 infection.” from the report
- 01How are individual risk assessments kept up to date for residents who are particularly at risk from COVID-19?
- 02What testing arrangements are currently used for people living in the home and staff?
- 03How would you manage visiting if there were an infection outbreak?
- 04How would the home maintain care if COVID-19 caused staff pressures?
- 05How would you isolate or separate people if an outbreak occurred?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other four key questions. This explanation was written from the published report of 24 March 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.
What inspectors found, November 2019
Rated Good; inspectors found safe, kind and personalised care, with effective management and no breaches reported.
This was an unannounced inspection on 5 November 2019. Inspectors spoke with people living at the home, relatives, staff and managers. They observed care, checked records, medicines, staffing, meals and the building.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, medicines were managed safely, staffing was sufficient and the environment was clean and safe.
People described kind and respectful care. Inspectors found personalised care, varied activities, good support with food and healthcare, and systems for complaints and quality checks.
The overall Good rating means the service met the CQC standards inspected and provided good outcomes. The previous inspection, published in April 2017, was also rated Good.
Safe staffing and medicines
Inspectors found enough staff to support people and saw trained nurses giving medicines safely. Recruitment checks and medicine audits were also in place.
“The service was staffed sufficiently, and staff spoken with confirmed this.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors observed friendly interactions and found that dignity, privacy and individuality were respected.
“We observed caring and friendly interactions between staff and people living at Oakfield Nursing Home.” from the report
Personalised support
Staff knew people's likes, dislikes, communication methods and signs of distress or pain. Care plans were updated when people's needs changed.
“People continued to receive care and support which was personalised to them.” from the report
Activities and end of life care
The home provided activities, trips and entertainment, with activity coordinators in place. Detailed information about future end of life wishes was recorded.
“Detailed information about people's end of life care and advanced care plans were in place for people to record their future requirements and wishes.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's care plan if their needs or preferences changed?
- 02What nursing support is available for my relative's medicines and healthcare appointments?
- 03How would you support my relative's communication needs, including if they cannot communicate verbally?
- 04What activities would suit my relative's interests, and how often could they receive one-to-one support?
- 05How would you involve my relative and our family in planning end of life care?
This was an unannounced inspection covering all five CQC questions, although inspectors reviewed one person's care records and medicines records for two people. This explanation was written from the published report of 30 November 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
3 rated inspections over 4 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 2011.
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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85 live-in carers within about an hour of Lancashire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.