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CQC report explained · a nursing home, run by BUPA Group

Oakcroft House Care Home

Oakcroft Road, West Byfleet, KT14 6JG

Goodpublished 26 July 2023, 3 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Requires improvement
Staff deployment did not always ensure people received person-centred personal care. Some people were not routinely offered baths or showers, although medicines, risk management and safeguarding arrangements were generally found to be safe.
Effective?
Good
People received appropriate assessments, staff training and healthcare support. The home supported people's nutrition, consent and independence, although feedback about the food was mixed.
Caring?
Good
People and relatives described staff as kind, caring and respectful. Inspectors saw staff involving people in choices and supporting their dignity, privacy and independence.
Responsive?
Good
Care plans reflected people's needs, preferences and interests. People had activities and access to one-to-one support, and complaints were investigated and responded to.
Well-led?
Good
The home had audits, meetings and improvement plans, and leaders responded to inspectors' feedback. However, some care plans and medicine records were not accurate or detailed enough.
The latest report, explained

What inspectors found, July 2023

Oakcroft House Care Home was rated Good overall, but Safe Requires Improvement because people were not always offered baths or showers and staff deployment did not always meet their needs.

Inspectors made an unannounced visit on 28 June 2023. They spoke with 13 people, 2 relatives, 12 staff members and 1 visiting professional. They reviewed care records, medicine records, staff files and management information.

The home was rated Good overall. Inspectors found kind and respectful care, good support with health needs, suitable activities and a system for handling complaints and improving the service.

The Safe rating fell from Good to Requires Improvement. People were not always offered baths or showers, and morning care could continue until just before lunch. Some care and medicine records were also not accurate or detailed enough. The home said it had started taking action after the inspection.

What inspectors praised

  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors saw staff use gentle, respectful interactions and involve people in decisions about their care.

    “We observed caring interactions between staff and people.” from the report

  • Safe medicines support

    People said medicines were given when needed. Medicine records reflected current treatment, and the medicine room and fridge were checked appropriately.

    “The administration of medicines was managed in a safe way and people told us they received their medicines when needed.” from the report

  • Good healthcare support

    People could access a range of health professionals, and staff followed the advice they received. Care plans included information about health risks and support needs.

    “We saw evidence of visits from various health care professional including opticians, community nurses, hospice nurse, physiotherapists and occupational therapists.” from the report

  • Personalised activities and relationships

    People could take part in activities that suited their interests, and those choosing not to join group activities were supported with individual activities. Families and friends were welcomed.

    “People had access to activities that were meaningful to them.” from the report
What inspectors were concerned about

  • Baths and showers were missed

    needs fixing

    People were not always routinely offered a bath or shower. Staff said they did not always have time, and the inspection found morning care could continue until just before lunch.

    “The deployment of staff was not effective in ensuring people received person centred care.” from the report

  • Staff deployment

    needs fixing

    Some people said there were not enough staff and that they had to wait for support. Inspectors recommended that staff deployment be reviewed continuously.

    “We recommend the provider continuously reviews the deployment of staff to ensure people receive person centred care.” from the report

  • Inaccurate care information

    needs fixing

    Some assessments contained contradictory information about people's risks and abilities. The home said it was reviewing care plans after moving from paper to electronic records.

    “Although staff were aware of the risks for people the assessments at times contained contradictory information.” from the report

  • Medicine records needed more detail

    serious

    Creams and eye drops did not always have opening dates recorded, and body maps were not in place for creams. Inspectors said this increased the risk of medicines being used when they were no longer safe.

    “This increased the risk of this medicine being administered when it was not safe to do so.” from the report

  • Mixed views about food

    minor

    People gave both positive and negative feedback about the food. The home had identified catering improvements and was reviewing specialised diets.

    “There were mixed responses from people about the quality of the food.” from the report
Questions to ask them, based on this report
  1. 01How many staff are deployed on each shift now, and how do you check that people receive their morning care on time?
  2. 02How do you record that each person has been offered a bath or shower, including when they decline?
  3. 03What changes have been made since the inspection to make care plans accurate and consistent?
  4. 04How are opening dates recorded for creams and eye drops, and are body maps now used where creams need to be applied?
  5. 05What action has been taken about the mixed feedback on food and the provision of specialised diets?

This was an unannounced inspection prompted partly by concerns about staff deployment; inspectors looked at the premises and care and reported ratings for all five key questions. This explanation was written from the published report of 26 July 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Oakcroft House Care Home

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. July 2023Goodcurrent ratingstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Oakcroft House Care Home →

  2. February 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 15 November 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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