CQC report explained · a residential care home
What the CQC found at Oakhaven Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were judged safe and protected from avoidable harm. Inspectors found enough staff, safe recruitment, suitable medicines arrangements and improved infection control, but some care and risk records were incomplete.
- Effective?
- Requires improvement
- This area was not inspected during this focused inspection. Its previous rating was used in calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- The home had a clear management system, with audits and monitoring used to identify actions and improve care. People, relatives and staff spoke positively about the management.
What inspectors found, May 2021
Oakhaven Care Home rated Good; inspectors found safe, well-managed care, but some care records were incomplete.
This was a focused inspection of safe and well-led care. Inspectors visited on 27 April and 7 May 2021, with inspection activity ending on 14 May. They spoke with one person, four staff members and 10 relatives, and checked medicines, recruitment, care records and quality monitoring.
People and relatives said they felt safe. Inspectors found enough staff, safe recruitment, trained staff, suitable medicines systems and appropriate checks for accidents and safeguarding concerns. Infection prevention arrangements, including protective equipment and visiting arrangements, were also judged effective.
Some skin integrity assessments and risk management plans were not recorded consistently. Bathing records did not always show when and why people had refused. The home was asked to review these records.
The overall rating was Good. The safe and well-led ratings were Good. The other three areas were not inspected during this visit, so their previous ratings were used in the overall rating. The rating improved from Requires Improvement at the previous inspection.
Enough staff
Inspectors found enough staff to meet people's needs and keep them safe. Relatives also said staff responded promptly when people needed help.
“There were enough staff in the home to support people.” from the report
Safe medicines
Medicines were stored and managed safely. Staff were trained and assessed as competent, and arrangements were in place for medicines that had to be given at specific times.
“Medicines were stored and managed safely.” from the report
Infection control
Inspectors were assured that the home had arrangements for protective equipment, testing, cleaning, visiting and managing infection outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Improved management
The provider and manager used audits and monitoring to identify problems and drive improvements. Inspectors found the home was no longer in breach of the earlier governance regulation.
“We found these were robust and had been used to generate actions and drive improvements.” from the report
Incomplete care records
needs fixingSome skin integrity assessments and risk management plans were not recorded consistently. Bathing records did not show when and why people had refused, so the home was recommended to review these records.
“some skin integrity assessments and risk management plans were not consistently recorded” from the report
- 01How have you corrected the gaps in skin integrity assessments and risk management plans?
- 02How do you now record when and why someone refuses bathing?
- 03What checks confirm that care records continue to reflect each person's current risks and needs?
- 04What were the previous ratings for effective, caring and responsive care, and when will those areas next be reviewed?
- 05How do your audits identify and follow up any new safety concerns?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from previous comprehensive inspections. This explanation was written from the published report of 25 May 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, August 2019
Oakhaven Care Home was rated Requires Improvement; inspectors found kind, personalised care but safety, consent and management systems needed improvement.
This was the first inspection since the home registered. The inspection took place over 16 and 17 May 2019. Inspectors spoke with people, relatives and staff, observed care and lunchtime, looked around the building and checked care, staff and management records.
Inspectors found risks from building work, including unlocked rooms containing tools, equipment and hazardous substances. Some areas were unclean, and laundry arrangements could allow clean linen to become contaminated. The home also did not always follow the legal process for consent and restrictions.
People received their medicines safely, had enough food and drink, and could access healthcare. Staff were described as kind and person-centred. The caring and responsive questions were rated Good, while Safe, Effective and Well-led were rated Requires Improvement.
Kind and respectful staff
Staff treated people with kindness, respected their choices and encouraged them to remain as independent as possible.
“Staff treated people with kindness and respected their individual choices and preferences.” from the report
Personalised care
Care plans included people's histories, goals, needs and abilities. Staff used this information to provide support in the way each person preferred.
“People received personalised care and support.” from the report
Food and healthcare
People had enough food and drink, including support for special diets and nutritional risks. Staff helped people access healthcare and noticed when they were unwell.
“People at risk of poor nutrition and hydration received the support and monitoring they needed to maintain a healthy diet.” from the report
Medicines
Inspectors found medicines were stored and managed safely. Checks of five people's medicines found the recorded balances were correct.
“Medicines were managed safely and stored securely and returned appropriately when no-longer required.” from the report
Building work created risks
seriousRooms with tools, equipment and hazardous substances were left unlocked and unsupervised. This placed people at unnecessary risk of harm.
“Rooms containing tools, equipment and hazardous substances were left unlocked and unsupervised.” from the report
Infection control
seriousSome areas were unclean and the laundry process did not clearly separate clean and soiled linen. The report says this created a risk of contamination.
“There was no clear workflow in the laundry room to ensure clean and soiled linen were physically separated throughout the process.” from the report
Consent and restrictions
seriousThe home did not always document or follow the legal process when people lacked capacity or when restrictions were used. This included technology that alerted staff when people moved around the home.
“Restrictions were placed on people without proper consideration as to whether people had the capacity to make these decisions.” from the report
Weak quality checks
seriousAudits did not identify problems found during the inspection. There was also not enough evidence that complaints, surveys, accidents and incidents were analysed for wider learning.
“The provider had failed to establish clear and robust governance systems and quality assurance systems had not identified the issues we found on inspection.” from the report
- 01What action has been completed to keep residents safe from tools, equipment and hazardous substances during building work?
- 02How do you now separate clean and soiled laundry, and how do you check that infection control standards are being met?
- 03How do you assess capacity, record best-interest decisions and review any restrictions or monitoring technology?
- 04What changes have been made to audits so they identify cleanliness, safety and quality problems?
- 05What learning has resulted from complaints, surveys, accidents and incidents since this inspection?
This was a planned first inspection covering all five CQC questions; the home had been registered on 17 May 2018 and had no previous inspection rating. This explanation was written from the published report of 16 August 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 Oakhaven Care Home
2 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- May 2021Goodcurrent ratingup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- August 2019Requires improvementSafe: Requires improvementWell-led: Requires improvement
- May 2018
Registered with the Care Quality Commission on 17 May 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Leeds
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 £1,250 a week. 89 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
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.