Oldfield House Residential Care Home

Updated 17 February 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 carried out by 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Oldfield House Residential Care Home 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. Oldfield House Residential Care Home is a care home without 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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 7 people that used the service and 1 relative. We spoke with 7 staff members including the manager, care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of care records including 3 care plans. We looked at 3 staff files in relation to recruitment. We reviewed records relating to health and safety, medicines management, infection prevention and control, complaints, quality control and policies and procedures.

Updated 17 February 2023

About the service

Oldfield House Residential Care Home is a residential care home providing accommodation and personal care to up to 18 people in one adapted building. The service provides support to older people and those with dementia. At the time of our inspection there were 18 people using the service.

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

People living at the home told us they felt safe. Staff were recruited safely and there were enough staff to meet people’s needs. Staff knew how to raise and escalate safeguarding concerns and medicines were managed safely. Appropriate health and safety checks had been carried out and accidents and incidents were being monitored frequently.

Staff had completed training that was specific to the needs of the people who used the service. There was a development plan in place to improve the home. Improvements had already begun and were observed during the inspection. Staff supported people to meet their nutritional needs effectively. 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.

People and their relatives spoke positively about the staff approach. Staff demonstrated compassion and patience when supporting people. People were treated as individuals and choice and consent were promoted. People were supported in a way that maintained their independence, dignity and privacy.

Care records were person centred and people received care that was specific to their needs. People were actively involved in activities both at the home and in the local community. Concerns and complaints at the home were being managed effectively and staff were knowledgeable about end of life care.

People who used the service and staff members spoke positively about the management team and culture at the home. Governance systems were in place to check the quality of care delivery and make improvements where necessary. People were engaged in providing feedback about their care and adjustments were made to suit people’s needs.

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

Rating at last inspection

This service was registered with us on 17 August 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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