About the service Oldbury House Care Home is a care home providing accommodation to persons who require nursing or personal care, for up to 75 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 56 people using the service. People are accommodated in one adapted building, which has been divided into three households or ‘units’.
People’s experience of using this service and what we found
People and their relatives told us Oldbury House was safe and staff responded to their needs safely. There were enough staff deployed to meet people’s needs. The management changed staffing levels depending on the occupancy of the home and people’s needs. Staff told us they had the skills, time and support they needed to meet people’s needs.
People’s needs and choices had been assessed. Where possible people were involved in planning and discussing their care, taking positive risks. Staff understood people’s individual risks and the support they required to maintain their health and wellbeing.
Incidents and accidents were reviewed to reduce the risk of reoccurrence. The management reviewed where accidents occurred to identify any potential trends. Staff were supported to reflect on incidents, complaints and medicine errors to enable them to make improvements.
The provider had infection control procedures in place to protect people and prevent the spread of infection. Staff accessed personal protective equipment (PPE) and acted in accordance with government guidance. People’s visitors could visit in accordance with current guidance.
Staff supported people in the least restrictive way possible and in their best interests. Where people were living under Deprivation of Liberty Safeguards; staff understood the support they required.
People had access to activities and engagement. Staff provided ad hoc activities where required, alongside group activities and trips outside of the home. The management team tried to accommodate like-minded people close to each other, to stimulate communication and engagement.
The provider was in the process of implementing new electronic care planning systems. Staff were being supported to use the new system for day to day recording of care notes. The provider and management had a clear plan to improve people's care notes and records.
The manager and provider operated effective systems to monitor the quality of care they provided people living at Oldbury House. There was a clear development plan for the home based on the manager and provider's audits and knowledge of the service.
People, their relatives and staff spoke positively about the management of the service. Staff told us they felt supported by the management team and felt they had the communication and guidance they needed.
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 16 October 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service. This included information of concern about people’s care and support. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Oldbury House Care Home 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.