18 October 2022
During an inspection looking at part of the service
Oak Farm is nursing home providing rehabilitation to people living with brain injuries. The home can accommodate up to 32 people and at the time of the inspection was supporting 24 people. The service comprises of a main building which can accommodate up to 28 people and a smaller unit supporting four people. The service has a communal gym and gardens for people to access.
People’s experience of using this service and what we found
At our previous inspection we had highlighted concerns with record keeping and overall governance of the service. At this inspection we had found these areas had improved. People and their relatives were positive about changes that had been made.
People’s medicines were stored and administered safely. People received their medicines on time and as prescribed by healthcare professionals.
Care plans had been improved since our last inspection and were detailed about what people were able to do for themselves to promote their own independence.
Staff spoke about people in a caring way and were observed to be supporting people respectfully.
Staff were responsive to people and offered them timely support. People felt staff supported them well and were always available.
External healthcare professionals were contacted when required for the needs of people. Ensuring people received responsive input when needed.
Regular staff meetings and handovers were taking place to ensure peoples wellbeing was closely monitored and action taken when needed to keep them safe.
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.
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 requires improvement (published 23 December 2021) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Exiting special measures
This service has been in Special Measures since January 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 19 October 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the safe care and treatment of people as well as good governance of the service.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Caring and Well-Led which contain those requirements.
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 changed from requires improvement to 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 Oak Farm 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.