10 April 2018
During a routine inspection
Oak Tree Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Oak Tree Manor provides accommodation for up to 65 older people some who live with dementia. The home is not registered to provide nursing care. At the time of the inspection there were 34 people living there. The service planned on amending their registration to reflect the number of people they currently supported.
The service had a manager who was about to register with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
There were systems in place to monitor the quality of the service. However, they had not identified the areas that required improvement that we found on inspection. This was mainly in relation to records, systems and processes. People and staff were positive about the running of the home.
Accidents and incidents needed to have remedial actions taken recorded and a system for identifying themes and trends needed to be developed to ensure it was robust. Medicines were managed safely. However there were some areas for development.
People were supported in a safe way and staff knew how to recognise and report any risks to people’s safety. However, staff knowledge in relation to evacuation in the event of a fire needed to be improved. Staff were recruited safely and received regular supervision and updates to their training. There were sufficient staff to meet people’s needs in a timely way.
Most people were supported in accordance with the principles of the Mental Capacity Act 2005, however, documentation needed improving.
People were positive about the food. However it was not clear if people were aware there was a choice of meals. People had access to health and social care professionals as needed.
People were treated with respect and kindness. We also found that people’s privacy and dignity was promoted. People and their relatives were involved in the planning of their care. Confidentiality was promoted as staff spoke discreetly about people and records were stored securely.
People received care in a person centred way however care plans required further development to ensure they accurately reflected the care provided. People enjoyed the activities provided and there was a complaint’s process which people and their relatives knew how to use.