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CQC report explained · a residential care home

What the CQC found at Oldfield Manor

Goodpublished 3 September 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home had effective infection prevention and control measures, including PPE, testing, cleaning, visiting arrangements and outbreak planning.
Effective?
Good
Not assessed in this targeted inspection.
Caring?
Good
Not assessed in this targeted inspection.
Responsive?
Outstanding
Not assessed in this targeted inspection.
Well-led?
Good
Not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured that infection prevention and control arrangements were effective.

This was an announced, targeted inspection on 24 February 2021. It focused on how the home was preventing and controlling COVID-19 infections.

Inspectors were assured about visitors, social distancing, admissions, protective equipment, testing, cleaning, outbreak planning and the infection control policy. They saw staff wearing protective equipment correctly and found regular cleaning and testing arrangements.

The home had plans for outbreaks and ways for residents to keep in touch with relatives. This inspection did not give an overall quality rating. The Safe question was recorded as inspected but not rated.

What inspectors praised
  • Infection control planning

    The home had detailed policies, risk assessments and an outbreak plan. These were updated when national guidance changed.

    “The home had comprehensive policies and procedures to manage any risks associated with the COVID-19 pandemic.” from the report
  • Protective equipment and training

    There was enough protective equipment for staff and visitors. Staff had training and inspectors saw it being used correctly.

    “There was an ample supply of PPE for staff and any visitors to use.” from the report
  • Cleaning and testing

    The home had daily cleaning schedules, extra cleaning of frequently touched areas and regular COVID-19 testing for residents and staff.

    “The five questions we ask about services and what we found” from the report
  • Contact with relatives

    Residents and their next of kin could keep in touch through visiting appointments, video calls and telephone calls.

    “People living in the home and their next of kin were supported to maintain contact through a range of methods including visit appointments in a 'pod' or 'booth', skype video and the telephone.” from the report
What inspectors were concerned about
  • Further development suggested

    minor

    Inspectors directed the provider to resources to develop its approach. The report does not explain what specific improvement was needed.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to the infection prevention and control approach since this inspection?
  2. 02How are visitors currently screened and supported to prevent infections spreading?
  3. 03How often are residents and staff tested, and what happens after a positive result?
  4. 04What did the home do with the resources signposted by inspectors to develop its approach?
  5. 05How will residents keep in touch with relatives if visiting arrangements change?

This was a targeted inspection of infection prevention and control, recorded under Safe; it did not rate the other four CQC questions or give an overall rating. This explanation was written from the published report of 6 March 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.

An earlier report, explained

What inspectors found, September 2019

Oldfield Manor was rated Good; inspectors found safe, kind care with Outstanding support for people's individual needs and activities.

This was an unannounced inspection on 23 July 2019. One inspector spoke with seven people, two relatives, five staff members and a healthcare professional. They also observed care and reviewed care, medicines, recruitment and management records.

The home was rated Good overall. Safe, Effective, Caring and Well-led were rated Good. Responsive was rated Outstanding because care was highly personal, staff understood people's goals, and people were supported to build relationships, take part in activities and avoid isolation.

Inspectors found people felt safe, medicines were managed safely, staff were trained, and care was kind and respectful. They also found that care plans recorded people's choices and preferences well. Three applications to deprive people of their liberty were still awaiting authorisation at the time of the inspection.

What inspectors praised
  • Highly personal care

    Care plans recorded people's needs, choices and preferences in detail. Inspectors saw very positive outcomes, including improvements in health and wellbeing.

    “People received care and support that was exceptionally person-centred and was embedded in the service.” from the report
  • Activities and relationships

    People received strong support to maintain relationships, use community facilities and take part in activities. Inspectors saw examples of people becoming less isolated and achieving personal goals.

    “People were exceptionally well supported to take part in activities to avoid social isolation.” from the report
  • Kind and respectful staff

    People appeared comfortable with staff. Staff supported privacy, dignity, choice and independence.

    “Staff interacted with people in a kind, caring, sensitive and respectful manner.” from the report
  • Safe systems

    Inspectors found effective systems for managing risks, medicines, accidents, recruitment, equipment and infection control.

    “The registered manager had effective systems and processes in place to assess and manage risks.” from the report
What inspectors were concerned about
  • Authorisations were pending

    minor

    Three applications to deprive people of their liberty were awaiting authorisation during the inspection. The report says care was being provided in people's best interests while they waited.

    “The registered manager had made three applications to deprive people of their liberty, however, they were awaiting authorisation of these.” from the report
  • Survey results not yet analysed

    minor

    The home had sent out feedback surveys, but the results had not been analysed when inspectors visited. Ask how this feedback was later reviewed and acted on.

    “Surveys had been sent out, but the results had not been analysed at the time of our inspection.” from the report
Questions to ask them, based on this report
  1. 01What happened with the three applications for authorisation under the Deprivation of Liberty Safeguards?
  2. 02How were the feedback survey results analysed after the inspection, and what changes followed?
  3. 03How would you create a personalised care and activities plan based on my relative's interests, relationships and goals?
  4. 04How often would my relative's care plans and risk assessments be reviewed if their needs changed?
  5. 05How would you support my relative to remain independent and avoid becoming socially isolated?

This was a planned, unannounced inspection covering all five CQC questions; the report says the previous overall rating was Good and Responsive improved from Good to Outstanding. This explanation was written from the published report of 3 September 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.

The story over the years

Every inspection of Oldfield Manor

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Oldfield Manor →

  2. September 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Oldfield Manor →

  3. May 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 11 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.

Next steps

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