CQC report explained · a nursing home
What the CQC found at Oldbury House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe medicines practice, suitable risk assessments and appropriate infection control. Staff responded appropriately to accidents, safeguarding concerns and people's health needs.
- Effective?
- Good
- This key question was not inspected during this focused inspection. No rating was given for it in this report.
- Caring?
- Good
- This key question was not inspected during this focused inspection. No rating was given for it in this report.
- Responsive?
- Good
- People received personalised support and had choices about their care, activities, relationships and communication. Complaints were listened to and acted on.
- Well-led?
- Good
- Inspectors found positive leadership, supportive management and regular audits. The provider used complaints, incidents and audits to identify improvements.
What inspectors found, February 2023
Oldbury House Care Home rated Good; inspectors found safe, kind and responsive care, with some records still being improved.
This was an unannounced focused inspection on 10 and 12 January 2023. Inspectors reviewed information held about the home, spoke with 12 people, 12 relatives, 21 staff and two provider representatives, and reviewed eight care records.
Inspectors found enough staff, safe medicines systems and suitable checks on people's risks. People and relatives said the home was safe. Staff understood people's needs and responded to accidents, complaints and safeguarding concerns.
Care was personalised. People were supported with activities, relationships, communication and end of life care. Inspectors also found positive leadership, regular quality checks and staff who felt supported.
The overall rating was Good. Safe, Responsive and Well-led were rated Good. This was a focused inspection, so Effective and Caring were not assessed in this report and their previous ratings were used when calculating the overall rating.
Safe staffing
Inspectors found staffing levels were based on occupancy and people's assessed needs. People, relatives and staff said there were enough staff to provide care safely.
“Suitable staffing levels were in place to meet the needs of people using the service.” from the report
Personalised support
Staff understood people's choices, communication needs and risks. People were supported to make day-to-day decisions and take part in activities suited to them.
“We observed staff providing people with activities and engagement tailored to their needs, including arts and craft, ball games, reading and reminiscence.” from the report
Safe medicines
Medicines were stored safely and given as prescribed. Regular checks and staff training had improved medicines management.
“People's medicines were stored safely, and they received their medicines as prescribed.” from the report
Supportive management
People, relatives and staff spoke positively about the management. The provider used audits, complaints and incidents to improve the service.
“The provider and management team undertook a range of quality assurance audits to ensure a good standard of service was maintained.” from the report
Care records being updated
minorThe home was introducing a new electronic care planning system. Inspectors noted that the provider had a plan to improve care notes and records, so families should check that information is complete and current.
“The provider was in the process of implementing new electronic care planning systems.” from the report
End of life information
minorStaff knew recorded wishes, but the provider identified that more information was needed about people's end of life choices. Ask how this improvement has progressed.
“The provider had plans to improve the level of information they held on people's choices about their end of life care.” from the report
Communication and visibility
minorThe management had identified communication changes were needed and planned to move the office nearer the entrance. Ask whether this change has been completed and made communication easier.
“They were in the process of moving the home's office near to the home's entrance.” from the report
- 01Has the new electronic care planning system been fully implemented, and are care notes complete and up to date?
- 02How do you record and review each person's wishes about end of life care?
- 03Has the office been moved nearer the entrance, and how has this improved communication with people and visitors?
- 04How are staffing levels adjusted when occupancy or people's care needs change?
- 05How are medicine errors, accidents and complaints reviewed and used to improve care?
This was a focused inspection of Safe, Responsive and Well-led only; Effective and Caring were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 21 February 2023 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, October 2018
The Grange Care Centre was rated Good overall, but Safe required improvement because medicines were not always recorded correctly.
Inspectors visited on 28, 29 and 31 August 2018 without telling the home in advance. They spoke with people, relatives, staff and healthcare professionals. They observed care and reviewed care files, staff records and management records.
The home was rated Good overall. Effective, Caring, Responsive and Well-led were all rated Good. Inspectors found kind care, suitable activities, support with food and healthcare, and improving management systems.
Safe was rated Requires Improvement. Two people had not always received medicines as prescribed, although records said they had. The impact was described as minimal, and action had been taken to assess staff who handled medicines and improve recording.
The previous inspection in June 2017 rated the home Requires Improvement and found a breach about medicines. This inspection found that the legal requirement was now met, but further improvement was still needed in medicines practice.
Kind and respectful care
People were treated with kindness and understanding. Staff respected privacy, dignity and personal choices.
“People's dignity was respected by all staff at the home.” from the report
Improved care plans
Care plans had been rewritten and were more personal and easier for staff and healthcare professionals to use.
“The care plans are clear, which is what you want.” from the report
Activities and social life
People could take part in activities, events, gardening, walks and community opportunities that matched their interests.
“People had access to activities, events and interests which they enjoyed and which reflected their needs, interests and preferences.” from the report
Staff development
Training had improved and staff were supported to gain qualifications and take on nursing assistant roles.
“The registered manager had implemented a new training and development initiative for care staff to become nursing assistants.” from the report
Improving leadership
The manager used audits, action plans and regular staff meetings to identify problems and track improvements.
“The registered manager had implemented action plans following their own assessment of the service and after looking at the areas that required improvement.” from the report
Medicines were not always given or recorded correctly
seriousTwo people had not always received their medicines as prescribed, but staff recorded that they had. This increased the risk of further medicines errors.
“two people had not always received their medicines as prescribed, however nursing staff had recorded that they had administered these medicines.” from the report
Medicines temperatures were not always recorded
needs fixingNursing staff did not always keep a clear daily record of the temperature of rooms where medicines were stored. The manager had started action to correct this.
“Nursing staff did not always keep a clear record of the temperature of rooms containing people's prescribed medicines.” from the report
- 01What checks now make sure every medicine is given as prescribed and recorded accurately?
- 02How are missed or refused medicines recorded, reviewed and followed up with healthcare professionals?
- 03How often are medicine storage temperatures checked and where are the records kept?
- 04How will you keep care plans up to date if my relative's needs change?
- 05What activities would be available for my relative, based on their interests and abilities?
This was an unannounced inspection covering all five CQC questions and the overall rating. This explanation was written from the published report of 16 October 2018 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 Oldbury House Care Home
5 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- February 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Goodup from Requires improvementSafe: Requires improvementResponsive: GoodWell-led: Good
- August 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2014
Registered with the Care Quality Commission on 8 September 2014.
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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