Archived: Oasis Community Care Ltd

Updated 12 May 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook a focused inspection of Oasis Community Care Limited on 1 April 2016. This inspection was carried out after concerns were raised. We inspected the service against two of the five questions we ask about services: is the service safe? and is this service well led?

The inspection was undertaken by two inspectors and was unannounced.

Before our inspection we reviewed the information we held about the service, including notifications recieved and concerns raised.

We spoke with three staff members and the nominated individual. The nominated individual is responsible for ensuring the personal care services provided by the organisation are properly managed. We also visited two relatives of people who used the service. We looked at three people’s care records, staffing rotas, the complaint log and other documentation.

Updated 12 May 2016

We carried out an unannounced comprehensive inspection of this service on 1, 22, 23, and 25 July and 14 August 2015. After that inspection we received information in relation to the resignation of nine care staff who had resigned from their role within a period of seven days. Due to these resignations, the service was not able to deliver care to some people and their care arrangements were handed back to the Local Authority without notice. This raised concerns around how people’s care needs would be met safely going forward. We were also concerned as we had not received a notification in relation to this matter in line with the providers obligations to make reports to us. As a result we undertook a focused inspection to look into those concerns. This report only covers our findings in relation to these topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Oasis Community Care on our website at www.cqc.org.uk.

Oasis Community Care Ltd provides domiciliary care services to adults within East Cornwall. On the day of the inspection Oasis Community Care was providing support to 85 people including people with physical disabilities, sensory impairments, mental health needs and people living with dementia.

The service had two registered managers in post. A registered manager is a person who has registered with the Care Quality Commission 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 2008 and associated Regulations about how the service is run.

When we arrived at the service on 1 April 2016 we were met by the nominated individual. Neither of the registered managers were at work. We were told that Oasis Community Care Limited would be withdrawing from the delivery of care to people in their own homes (“stepping down”) and that staff and all the people would be transferred to another local domiciliary care service. The nominated individual told us that this receiving agency had agreed to the transfer in principal and the plan was for the transfer to go ahead on 4 April 2016. With this change scheduled to take place imminently, we conducted a focused inspection to assure ourselves that people would be safe over the short time frame until the transfer took place.

We found that there were sufficient staff on the rota to ensure visits were covered until the transfer took place. There were contingency plans in place in case staff were sick and there was an effective on call system in place.

People’s risk assessments were not always up to date This meant staff might not always have the most current information about how to support people. Peoples care plans had been found at the previous inspection in 2015 not to have been regularly reviewed. This issue was not addressed during this inspection due to the imminent handover of peoples support to another provider.

The registered managers did not have robust systems in place to assess the on-going quality and monitoring of the service.

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.