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CQC report explained · a nursing home, run by Oliver House (Kirk Hallam)

Oliver House

33 Oliver Road, Ilkeston, DE7 4JY

Goodpublished 3 November 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks, medicines, infection control, equipment and accidents were managed safely. They also found enough staff and safe recruitment processes.
Effective?
Good
Staff had suitable training and ongoing support. People received appropriate help with food, drink, healthcare and decisions about their care.
Caring?
Good
Staff were kind and respectful. People's privacy, dignity, independence, choices and diverse needs were supported.
Responsive?
Good
Care was personalised and based on people's histories, needs and preferences. The home provided activities, community links, communication support and end-of-life care.
Well-led?
Good
The manager used audits and feedback to monitor quality and make improvements. Inspectors found an open culture and effective partnership working.
The latest report, explained

What inspectors found, November 2023

Oliver House was rated Good; inspectors found significant improvements and safe, kind, personalised care.

The inspection was unannounced and took place on 18 October 2023. One inspector spoke with people, relatives and staff, observed care and reviewed care, medicines and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found medicines were managed safely, risks were assessed, staffing was sufficient and the home was clean and well maintained.

People were treated with kindness and respect. Staff understood people's needs and preferences. There were activities, links with the local community and support for people's end-of-life wishes.

The previous rating was Requires Improvement, published in July 2022, with breaches of regulations. Inspectors found significant improvements and said the home was no longer in breach.

What inspectors praised

  • Safer medicines

    Medicines records and guidance had improved since the last inspection. Medicines were stored and managed safely, with systems to identify and correct errors.

    “At this inspection, MAR's were now completed appropriately and front sheet profiles were in place for everyone using the service.” from the report

  • Kind and respectful care

    People were supported by staff who understood them and treated them with kindness. Staff respected privacy, dignity and personal choices.

    “Interactions between staff and people were kind and nurturing.” from the report

  • Personalised activities

    The home offered group and one-to-one activities, trips out and opportunities to stay involved with families and the local community.

    “A comprehensive activity programme was in place which took into consideration people's needs and choices.” from the report

  • Improved oversight

    Management audits identified actions and checked that improvements were completed. Feedback from people, relatives and staff was encouraged.

    “The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” from the report
What inspectors were concerned about

  • Refurbishment was unfinished

    minor

    Some refurbishment plans were still in progress, including changes to flooring, signage and the outdoor area. Ask what has now been completed.

    “Refurbishment plans were in progress to update the service and improve accessibility and infection control practices.” from the report

  • Review of mealtime items

    minor

    The manager was considering whether plastic cups and crockery were being used only by people who needed them. Ask what decision was made.

    “For example, some plastic cups and crockery were used by people at mealtimes.” from the report
Questions to ask them, based on this report
  1. 01Have all the planned refurbishment changes to flooring, signage and the outdoor area now been completed?
  2. 02What is the current policy on using plastic cups and crockery, and are they used only where needed?
  3. 03How are monthly risk reviews and medicines audits checked to make sure improvements are maintained?
  4. 04How will the home support my relative's preferred activities, interests and links with family or the local community?
  5. 05How will my relative's wishes about end-of-life care be recorded and reviewed?

This was an unannounced follow-up inspection checking previous warning notices and the overall quality of the home, with all five ratings given as Good. This explanation was written from the published report of 3 November 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 Oliver House

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

  1. November 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Oliver House →

  2. July 2022Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

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

  3. December 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. June 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
  5. June 2016Requires improvementup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  6. December 2015Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
  7. June 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  8. May 2020

    Registered with the Care Quality Commission on 20 May 2020.

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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