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Oaks Court House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 September 2019

About the service

Oaks Court House is a residential care home providing personal care for up to 41 older people, due to their frailty, health condition, restricted mobility or mental health needs. At the time of the inspection there were 29 people living at the home.

The building was designed as a care home and accommodation was over three floors. The home was not unitised, and most people used communal facilities on the ground floor, although there were smaller communal rooms on all floors.

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

Quality monitoring systems were in place, although these had not been consistently effective. For example some areas of recruitment practice needed improvement, and the environment needed to be improved so there was a better environment for the needs of people living with dementia.

People said they were happy living at Oaks Court and they were positive about the care and support they received from staff. They told us they usually received support from staff in a timely way and were not kept waiting for assistance. We saw staff usually responded to people’s needs and knew their preferences were known and respected by staff, although there were some occasions where people had to wait at times when staff were busy providing care to other people.

People looked comfortable in the presence of staff and people told us they felt safe at the home. Staff were knowledgeable about potential risks to people and were able to tell us how these would be minimised. People said staff were well trained although we did see skills in responding to people who may exhibit behaviour of concern could be improved. The lack of staff training in this area and the need to develop clear positive behaviour plans was agreed by the provider as an area where improvement was needed.

People’s care plans reflected people’s individual needs and preferences. Staff were knowledgeable about people’s needs and preferences and the staff fostered good relationships with the people. People said staff were kind and caring and staff respected people and promoted their privacy, dignity and independence.

People received effective person-centred care and support at the point this was provided and based on their individual needs and preferences. Staff were knowledgeable about people’s needs and preferences and the staff fostered good relationships with the people. There were missed views from people about the activities available to them, although the registered manager had recognised the need to develop these with recruitment of an additional activity co-ordinator, which was in progress at the time of inspection.

Staff understood their role, felt confident and well supported. Staff received supervision and felt well supported by the provider. People's health was supported as staff worked with other health care providers to ensure their health needs were met. 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 and their representatives knew how to complain although most people we spoke with said they had no complaints. People were able to communicate how they felt to staff, and said staff were approachable and listened to what they had to say.

People, relatives and staff gave an overall positive picture as to the quality of care people received and said management and staff were approachable.

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 (published 31/12/2016).

Why we inspected

The inspection was a planned scheduled inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive an

Inspection areas

Safe

Requires improvement

Updated 14 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 14 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 14 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 September 2019

The service was not always well-led.

Details are in our well led findings below.