What the CQC found at Oakwood Court

People and relatives gave very positive feedback. Inspectors saw staff supporting people with kindness, dignity and respect.

“People were treated with dignity and respect by kind and caring staff.” from the report

Staff received essential and specialist training, including training about dementia. They also received supervision and appraisals.

“People's needs were effectively met because staff had the training and skills to fulfil their role.” from the report

Menus were varied and balanced. Staff offered choices and adapted food, cups and plates for people's individual needs.

“People had enough to eat and drink and their menus were varied and well balanced.” from the report

People could take part in activities such as singing, exercise, reminiscence, crafts and entertainment. They also had choices about how to spend their day.

“People were supported to take part in a range of activities to meet their individual needs and wishes.” from the report

The home was clean and had regular checks for fire safety, water safety, equipment and infection control.

“All areas of the home were clean and there were effective systems to audit in relation to infection control.” from the report

Sixteen personal emergency evacuation plans had not been reviewed every six months as the home's policy required. They also did not contain all the information needed about how people might respond in an emergency.

“16 of the PEEPs had been completed in December 2017 and had not been reviewed six monthly in line with the home's policy.” from the report

Conflicting fluid records meant inspectors could not accurately tell how much some people had received. Some incidents and falls were also missing from the correct records, making analysis less reliable.

“As a result, it was not possible to accurately say how much fluid each person had received.” from the report

Weekly medicine audits repeatedly showed missing signatures, but did not record how many were missing, who was responsible or what action was taken. On the first inspection day, the medicine trolley was also left unlocked and unattended.

“There was no record of how many, who was responsible and what was done about it.” from the report

Some plans did not include enough guidance about people's individual needs, including behaviour support, spiritual needs, bereavement and end-of-life wishes. Updates were made during or after the inspection.

“Person centred aspects of some people's care had been missed with no or limited guidance for staff to support some.” from the report

Two staff files had gaps or unclear dates in employment histories that had not been explored at recruitment. The provider changed its process, but inspectors could not yet be sure this was embedded.

“Within one staff file there were gaps in the staff member's employment history that had not been explored with them at interview.” from the report