Oakhill Mansions

Updated 28 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by 2 inspectors and an Expert by Experience on the first day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The second day 1 inspector completed the inspection.

Service and service type

Oakhill Mansions is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Oakhill Mansions is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people living at the service and 8 relatives about their experience of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with 9 members of staff, a visiting health professional, the registered manager, the clinical manager and the provider. We received 11 emails from staff telling us about their experience of working at Oakhill Mansions. We also received feedback from 5 visiting health and social care professionals.

We viewed a range of records and documents. This included 8 people’s care records and medicine records. We looked at 2 staff files in relation to recruitment and staff supervision. We checked a variety of records relating to the management of the service. This included policies and procedures, quality assurance checks and health and safety documents. The registered manager continued to send additional information that we had requested. We considered all this information to help us to make a judgement about the service.

Updated 28 March 2023

About the service

Oakhill Mansions is registered to provide accommodation and nursing or personal care for up to 90 people. The home is arranged over three floors. On the ground floor is Queens Wood Wing which has 19 bedrooms, on the first floor is Kingsley Wing with 31 bedrooms and, on the second floor Princeton Wing has 26 bedrooms. There was a separate building called The Lodge, which accommodated 14 people. At the time of our inspection 86 people were living at the service.

People’s experience of using this service and what we found

Oakhill Mansions benefited from a strong leadership team who were passionate about providing care that was tailored to the person. They were striving to provide a service that was excellent, using innovation to improve the lives of people they were supporting. Feedback from professionals, relatives, people and staff was extremely positive. Where people had raised minor concerns there was a proactive approach to improve their experience.

People were supported by suitable numbers of staff based on their support needs. People had named staff to ensure their needs, goals and aspirations were being met and to enable positive relationships to be built. There was a planned approach to ensure people had meaningful activities. Wellbeing staff had been introduced to compliment the care staff in providing people with regular social occupation.

The service supported people who had been discharged from hospital but were not ready to go home. Health and social care professionals spoke very highly about the service, that they often went over and above to support people and worked to a consistently high standard. The leadership team and staff worked in a collaborative way liaising with the person, their family and health and social care professionals to ensure a positive outcome whether that was to remain in Oakhill Mansions, to return home or to explore other care facilities.

Risks to people's safety were assessed and monitored and there were systems in place to safeguard people from the risk of abuse. Safe systems were in place to manage people's medicines. Staff had received training to ensure people were safe including safeguarding, health and safety, first aid and medication training.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Safe infection prevention and control processes had been implemented to keep people safe. Staff had received training in the management of infection control. People were supported to keep in contact with friends and family and there were no restrictions of visiting at the time of the inspection.

Staff were safely recruited, had received an induction and completed ongoing training. Effective communication was in place to ensure all staff at all levels were kept up to date enabling them to provide care to a high standard.

There were robust governance processes in place to continually drive improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 2 November 2017). The service continues to be rated good based on the findings of this inspection.

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding. This report only covers our findings in relation to the Key Questions Safe, and Well led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Oakhill Mansions on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.