You are here

The Uplands at Oxon Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2020

About the service

The Uplands at Oxon is a care home providing nursing care to a maximum of 81 people. At the time of the inspection, 79 people were using the service. Accommodation is provided in one purpose built building consisting of four units over two floors.

People’s experience of using this service and what we found

Some risks to people were not always considered. Some items, which could cause significant harm if ingested, were not securely stored. People’s medicines were not always managed or administered in a safe way. Good infection control procedures were followed by the majority of staff.

People felt safe living at the home and with the staff who supported them. The provider’s procedures for staff recruitment and training helped protect people from the risk of abuse. There were sufficient numbers of staff to meet people’s needs in a safe way. Regular health and safety checks were carried out on the environment and equipment used by people to ensure they remained well-maintained.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People said staff always asked for their consent before helping them.

People’s nutritional needs were assessed, and care plans were in place to manage risks however these were not always followed by staff. People who were living with dementia did not experience a positive meal-time experience.

People were able to personalise their bedrooms. Systems were in place to ensure staff received the training they needed. Staff monitored people’s health and well-being and worked with other professionals to make sure they received the care and treatment they needed.

People were supported by kind and caring staff. People were treated with respect and their right to privacy was understood and respected by staff. People were supported to remain as independent as possible. Staff understood and respected people’s right to confidentiality.

There were opportunities for social stimulation and people could see their friends and family whenever they wanted. People were treated as individuals and chose how they spent their time. People and their relatives felt confident and comfortable to discuss any concerns with staff. People could be confident that their wishes for end of life care would be respected by staff.

There were systems to monitor safety and the quality of the service people received however these were not always effective. Staff felt well supported and motivated. The service worked in partnership with other professionals and the local community to achieve good outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good. (Report published July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified breaches in relation to safe care and treatment, person-centred care and good governance at this inspection.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will

return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 23 July 2020

The service was not always safe

Effective

Requires improvement

Updated 23 July 2020

The service was not always effective

Caring

Good

Updated 23 July 2020

The service was caring

Responsive

Good

Updated 23 July 2020

The service was responsive

Well-led

Requires improvement

Updated 23 July 2020

The service was not always well-led