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Oaklands Rest Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 7 November 2019

About the service

Oaklands Rest Home is a residential care home providing personal care to 21 people aged 65 and over at the time of the inspection. The service can support up to 29 people accommodated in one adapted building.

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

Systems to assess, monitor and improve the safety and quality of the service were not always effective.

Systems and processes to manage the prevention and control of infections were not robust.

Risk to people had not always been mitigated in accordance with their care plan and risk assessment.

Robust processes were not always followed when checking staff for suitability before being employed by the service.

People’s needs in relation to social and mental stimulation were not all or consistently being met. Provision of activities had improved recently following the employment of dedicated member of staff. Continued improvements will need to be made and sustained.

People were given appropriate support to eat and drink enough to meet their needs. We recommend that the service seek advice and guidance from a reputable source about best practice mealtime provision for people who are living with dementia.

There were plans for the extensive refurbishment of the older part of the house and some work had already been completed. We recommend that the service seek advice and guidance from a reputable source for best practice for dementia friendly environments.

People were mostly 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 support this practice. We recommend that the service seeks advice and guidance from a reputable source on how to implement and review least restrictive practices for individuals.

There were sufficient numbers of staff deployed to meet people’s general health needs.

Staff were aware of their responsibilities in relation to safeguarding and said they would feel confident raising any concerns with the registered manager.

The management, storage and administration of medicines was safe.

The service had an on-line training and development programme that enabled the registered manager to monitor any shortfalls in staff training requirements. A supervision programme had been put in place.

We received positive feedback from some healthcare professionals who told us the service referred people appropriately to healthcare services.

People were on the whole supported and treated with dignity and respect; and involved as much as possible in their care.

Staff demonstrated knowledge of people’s individual needs and preferences regarding support. Occasionally staff did not follow care plans.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 October 2018) and there were three breaches of regulation. The provider’s action plan was not received after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made / sustained and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

The inspection was prompted in part due to concerns received about infection control, assessing needs, the environment, and poor practice supporting older people and those living with dementia. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Responsive 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.

The provider had taken effective action to mitigate some of the risks, such as in relation to the security of the environment.


We have identified four breaches in relation to infection control, staff recruitment practices, person-centred care, and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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


Requires improvement

Updated 7 November 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 7 November 2019

The service was not always effective.

Details are in our effective findings below.



Updated 7 November 2019

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 7 November 2019

The service was not always responsive.

Details are in our responsive findings below.


Requires improvement

Updated 7 November 2019

The service was not always well-led.

Details are in our well-Led findings below.