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CQC report explained · a residential care home

What the CQC found at Oakwood House

Goodpublished 16 November 2017, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection control, protective equipment, testing, cleaning and visiting arrangements. The provider was recruiting four additional staff after COVID-19-related staffing pressures.
Effective?
Good
No separate finding or rating was given for this area in this targeted inspection.
Caring?
Good
No separate finding or rating was given for this area in this targeted inspection.
Responsive?
Good
No separate finding or rating was given for this area in this targeted inspection.
Well-led?
Good
No separate finding or rating was given for this area in this targeted inspection.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control, while staffing pressures were being addressed.

The inspection took place on 22 February 2022. It was a targeted, unannounced visit, with short notice given from outside the home because of COVID-19 risks. Inspectors were checking infection control and asking about staffing pressures.

Inspectors found good practice in infection control. The home had enough protective equipment, regular cleaning, staff training, testing and an up-to-date infection control policy. People were supported to see their families under the guidance in force at the time.

The provider said COVID-19 had caused staffing pressures. The home had learned lessons from a recent outbreak and had started recruiting four more staff. The service was inspected but not rated, so this report does not provide an overall judgement on the quality of care.

What inspectors praised
  • Infection control

    The premises and equipment were visibly clean. Cleaning schedules and audits were used to monitor standards.

    “The premises and equipment were visibly clean and regular cleaning schedules and audits were completed to monitor the IPC standards within the home.” from the report
  • Protective equipment

    Staff had access to protective equipment and were observed using it correctly. They had also completed infection control training.

    “Staff completed IPC training and were observed to be wearing the correct PPE and following best practice.” from the report
  • Family contact

    People were supported to keep in contact with families and loved ones, with visiting arrangements following the guidance in force at the time.

    “People were fully supported to maintaining contact with families and loved ones.” from the report
  • Individual needs

    Inspectors found that the management team put the needs of people living at the home first and considered their emotional and psychological wellbeing.

    “The management team at Oakwood House clearly put the needs of the people living at the home first to help ensure care provided was focused on their individual needs.” from the report
What inspectors were concerned about
  • Staffing pressures

    needs fixing

    The provider had experienced staffing pressures linked to COVID-19. It had started recruiting four additional staff to strengthen cover.

    “Following a recent COVID-19 outbreak in the service, lessons had been learned to ensure safe staffing levels of skilled staff were available to cover any staff shortfalls.” from the report
  • Social distancing

    minor

    The complex needs of people living at the home made social distancing and isolation difficult during the outbreak. The home used rooms and a communal area in zones as far as possible.

    “Due to the complex needs of the people living at the service it is difficult to ensure social distancing and isolation is maintained, as required.” from the report
Questions to ask them, based on this report
  1. 01What progress has been made with recruiting the four additional staff mentioned in the report?
  2. 02How do you maintain safe staffing levels and skilled cover when staff are absent?
  3. 03What lessons from the recent COVID-19 outbreak have been put into practice now?
  4. 04How would you manage social distancing, isolation and zoning if there were another infection outbreak?
  5. 05What are the current arrangements for visiting, testing and protective equipment?

This was a targeted inspection of infection prevention and control, with questions about staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 17 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.

An earlier report, explained

What inspectors found, November 2017

Rated Good; inspectors found safe, kind and personalised care, but safeguarding matters had not been reported to the CQC.

This was an unannounced inspection on 15 September 2017. It was the first inspection since the home registered. One inspector observed care, spoke with staff, a relative and a health professional, and checked care plans, medicines, recruitment and other records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, safe medicines systems, detailed support plans and warm relationships between staff and residents.

The home had systems for managing incidents, accidents and safeguarding matters. However, inspectors noted that the CQC had not been notified about some matters that had been reported to the local authority. No breaches of regulations or enforcement action were recorded in the report.

What inspectors praised
  • Kind relationships

    Inspectors saw staff interacting warmly and compassionately with residents. Staff understood how people communicated, including when they could not express their wishes verbally.

    “During our inspection we observed warm, kind and compassionate interactions between staff and people living at the home.” from the report
  • Personalised support

    Support plans gave staff detailed information about each person's needs, preferences, relationships and risks. People and their relatives or advocates were included where possible.

    “Support plans were individualised and contained information such as, managing risks and support, all about me, my involvement and others, my support plan, who is in my life etc.” from the report
  • Safe medicines

    Medicines were stored, given and disposed of appropriately. Records had no gaps in signatures and were checked weekly by the manager.

    “Medicine administration records (MAR) were all completed fully, with no gaps in signatures to confirm the right medicines had been given to people at the right time.” from the report
  • Trained staff

    Staff had completed mandatory training and received support through induction, supervision and appraisal. Training also covered the specific health needs of people living in the home.

    “All staff had completed appropriate training to support them in their roles.” from the report
What inspectors were concerned about
  • CQC notifications

    needs fixing

    The manager reported safeguarding matters, incidents and accidents to the relevant local authority team, but the CQC had not been notified of these. Families should ask how the home now checks that required notifications are made.

    “During inspection, we observed that the registered manager had reported any safeguarding matters, incidents or accidents to the relevant local authority team, although the Care Quality Commission had not been notified of these.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure safeguarding matters, incidents and accidents are reported to the CQC when required?
  2. 02How many staff are on duty during the day and at night, and how do you cover vacancies, sickness and annual leave?
  3. 03How are changes in a resident's needs recorded and shared with all staff?
  4. 04How do you involve residents, relatives or advocates in reviewing support plans?
  5. 05How do you check that medicines continue to be recorded correctly and that audits lead to action where needed?

This was an unannounced first inspection since registration and covered all five areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 16 November 2017 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 Oakwood House

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at Oakwood House →

  2. November 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Oakwood House →

  3. July 2015

    Registered with the Care Quality Commission on 30 July 2015.

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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