Oak Grange

Most people and families had something positive to say about the staff. Inspectors saw staff listen to people, act on what they said and protect their privacy.

“Nursing and care staff were seen to be kind and caring in their approach.” from the report

Inspectors found that people's nutritional needs were being met. Staff knew people's dietary needs and preferences, and comments about the food were generally positive.

“The nutritional needs of people were being met. Staff were aware of people's dietary needs and preferences.” from the report

People had opportunities to take part in activities and pastimes. Inspectors saw activities happening on each day of the inspection.

“We observed people engaging in a range of activities on each day of our inspection” from the report

Inspectors were assured that systems and practices were in place to prevent and manage infections, including COVID-19.

“Effective systems, policies, procedures, and practices were in place to ensure people were protected from infection including COVID-19.” from the report

A visiting doctor and other health professionals gave positive feedback about the home's cooperation and care.

“A visiting doctor told us that managers and staff worked collaboratively with them to ensure people's health care needs were met.” from the report

There were not always enough suitably skilled staff. People reported long waits for call bells, and rotas showed staffing below the home's stated target on several days.

“People told us that they had to wait long periods of time for staff to answer the nurse call bell” from the report

Falls risks were not always assessed or managed effectively. Measures in care plans were not always followed, leaving people at risk of avoidable harm.

“Measures to reduce the risk of falls were not always effective, leaving vulnerable people at risk of injury and harm.” from the report

An unexplained bruising incident was not reported to the local safeguarding authority as required. Some staff were unclear about safeguarding reporting and whistleblowing procedures.

“Records showed that a vulnerable person had suffered unexplained bruising, however, this had not been reported to the local adult safeguarding authority” from the report

Care plans did not always contain important information or reflect changes in people's needs. Inspectors continued to find recording errors and omissions during the inspection.

“Care plans did not always accurately reflect people's needs and were not always reviewed and revised when needs changed.” from the report

The home had not always completed mental capacity assessments or applied for deprivation of liberty safeguards in good time for people who might not be safe to leave alone.

“The provider was not always working within the principles of the MCA.” from the report

Four relatives reported complaints about care, including staffing. Only one said they had received a satisfactory response.

“The three relatives who raised concerns about staffing levels told us that their complaints had not been taken seriously” from the report