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CQC report explained · a nursing home

Oakview Care Home

14-20 Overfield Road, Bartley Green, Birmingham, B32 3BA

Requires improvementpublished 9 May 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Some risks were not properly assessed or managed. Fire safety arrangements were not always adequate, and guidance about as-needed medicines was not always clear.
Effective?
Requires improvement
The home did not always follow the principles of the Mental Capacity Act. Some capacity assessments were missing or had not been reviewed, and one deprivation of liberty application had not been followed up for three years.
Caring?
Good
People and relatives described staff as kind and caring. Inspectors saw respectful interactions, although they also saw a urine sample taken from a catheter bag in a communal lounge, which did not protect the person's dignity.
Responsive?
Good
People received personalised care and communication needs were recorded. However, some changes in people's needs were not reflected consistently in their care plans, and activities and interaction varied between units.
Well-led?
Requires improvement
The home had audits and feedback systems, but its checks did not identify several important problems. The provider was responsive to the inspection findings and reported actions taken afterwards.
The latest report, explained

What inspectors found, May 2024

Rated Requires Improvement; inspectors found kind, responsive care but gaps in risk management, consent and oversight.

This was an unannounced inspection on 29 and 30 January 2024. Inspectors spoke with 12 people, 20 relatives and 10 staff. They reviewed care and medicine records, recruitment files, training records and checks on the home.

The overall rating fell from Good to Requires Improvement. Safe, Effective and Well-led were rated Requires Improvement. Caring and Responsive remained Good. Inspectors found people were generally treated kindly, had their needs responded to and could access healthcare, but some risks and records were not managed reliably.

The main problems involved incomplete risk assessments, fire safety, outdated or missing mental capacity records, unclear guidance for as-needed medicines and weak checks on the quality of care. The report says the provider took some action after the inspection, including updating care records and putting fire safety measures in place.

What inspectors praised
  • Kind and respectful staff

    People and relatives spoke positively about staff. Inspectors saw good interactions and found that people were usually treated with dignity and respect.

    The staff are brilliant, they are very friendly and caring.from the report
  • Enough suitable staff

    Inspectors found there were enough staff to meet people's needs. Recruitment checks, including criminal record checks, had been completed.

    Processes in place ensured people were supported by suitable staff. A number of pre-employment background checks had been completed.from the report
  • Healthcare support

    Relevant healthcare professionals were involved in people's care. Relatives gave positive feedback about staff responding to health concerns.

    Recently [Name of Person] had a chest infection and the carer was worried. The carer called the GP out straightaway and later the same day [Person] had their antibiotics.from the report
  • Feedback and complaints

    The home had systems for recording complaints and actions taken. Residents' meetings and other feedback helped identify issues for action.

    There are minutes and they do action the points.from the report
What inspectors were concerned about
  • Risk assessments and fire safety

    serious

    Care plans and risk assessments contained conflicting or missing information. Fire risks linked to smoking, oxygen and flammable medicines were not always properly assessed, and staff did not always follow the required precautions.

    Management of risk was not always effective, placing people at increased risk of harm.from the report
  • Consent and least restrictive care

    serious

    Mental capacity assessments were not always completed or reviewed. The home did not have a reliable system for following up deprivation of liberty applications.

    We found the service was not working within the principles of the MCA.from the report
  • Weak quality checks

    serious

    Audits failed to identify problems with risk records, care plan updates and as-needed medicine guidance. This meant the provider did not consistently find and correct important shortfalls.

    Systems were not always robust enough to demonstrate effective monitoring of the quality of the service.from the report
  • Uneven activities and interaction

    needs fixing

    The quality of mealtime support and activities varied between the four units. On some units, people had limited interaction beyond care tasks, and staff did not always respond appropriately when one person became distressed.

    However, this was not reflected on all units. For example, multiple people were supported in their bedrooms and interaction was limited to care tasks.from the report
  • One lapse in dignity

    minor

    Inspectors saw a urine sample taken from a person's catheter bag in a communal lounge while other people were present.

    Staff had not considered the person's dignity on this occasion.from the report
Questions to ask them, based on this report
  1. 01What specific changes have you made to fire risk assessments for people who smoke, use oxygen or have flammable medicines?
  2. 02How do you make sure care plans always contain current information about people's health conditions, risks and changing needs?
  3. 03How are mental capacity assessments reviewed, and how do you track deprivation of liberty applications until they are completed?
  4. 04How do staff decide when to offer as-needed medicines, and how is this recorded?
  5. 05What changes have you made to improve activities, mealtime support and interaction on the units where inspectors found a more task-focused approach?

This was an unannounced comprehensive inspection covering all five key questions; the previous overall rating was Good and the ratings for Safe, Effective and Well-led changed to Requires Improvement. This explanation was written from the published report of 9 May 2024 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 Oakview Care Home

3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. May 2024Requires improvementcurrent rating
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Oakview Care Home

  2. April 2021Inspected but not rated
    Safe: Inspected but not rated

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

  3. January 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. March 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. January 2011

    Registered with the Care Quality Commission on 27 January 2011.

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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