Oaksfield Care Ltd

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

This means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The registered manager completed initial assessments of people’s care and support needs before the service began supporting them, to ensure staff could meet their needs and manage their risks. People and relatives told us they were involved in these assessments.

The initial assessments and further discussions with people and relatives, were used to create care plans and risk assessments, which guided staff on how to support people in a way which reflected their needs, risks and abilities. These were reviewed regularly. Any changes in people’s needs were assessed promptly, their care documentation was updated, and staff were informed of the changes to ensure they were able to provide appropriate support. People and relatives told us staff provided care which reflected people’s needs.

We noted two people’s care documentation contained inconsistent information about their needs. However, we found no evidence that this had resulted in them receiving inappropriate care. We discussed this with the registered manager who amended the documentation during the inspection to ensure it was consistent.

The registered manager planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People and relatives told us staff provided care which met people’s needs and reflected what was important to them. A relative commented, “It’s very good care, we’re really happy with it. The staff know [family member] very well and anything they need.”

Staff completed the training necessary to support people safely, in line with good practice, including fire safety, medication, safeguarding, infection control and moving people safely. The registered manager reviewed staff performance regularly through supervision, competence assessments and spot checks to ensure their practice reached the required standard and reflected good practice.

The registered manager worked well across health and social care teams and services to support people.

People were supported by a small group of staff who were familiar with their needs and how to support them well. Records demonstrated that staff received timely updates about any changes in people’s care needs or risks and how they should be supported. A staff member told us, “Communication and handovers are good. If there are any changes about people’s risks, needs or visits, we are updated via phone calls and emails.”

We saw examples of referrals to, and effective communication with, community professionals, including social workers, GPs, community nurses and occupational therapist. This demonstrated the service working well with other services to ensure people received joined up care and their needs were met. We found evidence of emergency services being contacted when needed and appropriate information about people’s needs and risks being shared with ambulance and hospital staff. Feedback we received from community agencies was positive.

The registered manager supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff monitored people’s healthcare needs and supported them to access specialist community healthcare services. A relative told us, “Staff noticed issues with [family member’s] skin and reported it to the registered manager, who arranged for district nurses to visit, which was great.”

Care documentation included information about people’s healthcare needs, medical history, medicines and any allergies, to guide staff about how to support them to live healthier lives.

Community health and social care professionals told us staff at the service were excellent. They monitored people’s health conditions, followed any treatment advice provided, such as encouraging people to drink more, and contacted them regarding any changes or concerns.

The registered manager routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The registered manager discussed people’s care needs with them, or their relatives, regularly, and their documentation was updated when there were any changes. Staff monitored people’s healthcare needs, and the registered manager ensured all relevant staff were informed of any changes, so they had up to date information when providing support.

When people’s needs changed and additional support was needed, referrals were made to community agencies for specialist care, to achieve the best possible outcomes for people. One community health professional told us the registered manager updated them regularly about how their patient was, covering all aspects of their care, which helped enable them stay well and to remain living as they wanted to.

The registered manager told people about their rights around consent and respected these when delivering person-centred care and treatment.

Records showed that people’s consent was sought before the service started supporting them. When people were unable to provide consent, their relatives or representatives were involved to ensure decisions about their care and support were made in their best interests.

People told us staff routinely asked for their consent before supporting them. Care documentation emphasised the importance of staff seeking people’s consent and respecting their wishes and decisions.