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Inspection Summary


Overall summary & rating

Good

Updated 11 August 2017

The inspection took place on the 24 and 25 July 2017 and was unannounced.

The service had a registered manager. 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.

Oak Tree Lodge provides accommodation and support for up to 19 older people who may also be living with dementia. This home is not registered to provide nursing care. At the time of our inspection 17 people were living at the home.

The home is located in Ashurst on the edge of the New Forest in Hampshire. The home has two large living rooms, conservatory / dining area and kitchen. People’s private rooms are on both the ground and first floors. There is a passenger lift to the first floor. The home has a garden and a patio area that people are actively encouraged to use.

Individual care records were stored electronically. Staff had access to electronic data terminals to access and update records accordingly.

The provider had systems in place to respond and manage safeguarding matters and make sure that safeguarding alerts were raised with other agencies.

People who were able to talk with us said that they felt safe in the home and if they had any concerns they were confident these would be quickly addressed by the staff or manager.

Assessments were in place to identify risks that may be involved when meeting people’s needs. Staff were aware of people’s individual risks and was able to tell of the strategies’ in place to keep people safe.

There were sufficient numbers of qualified, skilled and experienced staff deployed to meet people’s needs. Staff were not hurried or rushed and when people requested care or support, this was delivered quickly. The provider operated safe and effective recruitment procedures.

Medicines were stored and administered safely. Clear and accurate medicines records were maintained. Training records showed that staff had completed training in a range of areas that reflected their job role.

Staff received supervision and appraisals were on-going, providing them with appropriate support to carry out their roles.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. At the time of our inspection applications had been submitted by the managing authority (care home) to the supervisory body (local authority) and had yet to be authorised. The manager understood when an application should be made and how to submit one.

Where people lacked the mental capacity to make decisions the home was guided by the principles of the Mental Capacity Act 2005 to ensure any decisions were made in the person’s best interests.

People were involved in their care planning, and staff supported people with health care appointments and visits from health care professionals. Care plans were amended to show any changes, and care plans were routinely reviewed to check they were up to date.

People were treated with kindness. Staff were patient and encouraged people to do what they could for themselves, whilst allowing people time for the support they needed.

People knew who to talk to if they had a complaint. Complaints were passed on to the registered manager and recorded to make sure prompt action was taken and lessons were learned which led to improvement in the service.

Inspection areas

Safe

Good

Updated 11 August 2017

The service is safe. People were protected against abuse

because staff understood their responsibility to safeguard people and the action to take if they were concerned about a person's safety.

Risks associated with people's care and support needs had been assessed, recorded and managed.

The provider followed safe and robust recruitment procedures.

Effective

Good

Updated 11 August 2017

The service remains effective, Staff had received appropriate training and had the skills they required in order to meet people's needs.

People’s mental capacity had been assessed and taken into consideration when planning their care needs.

People were supported with their healthcare needs, including receiving attention from GPs and routine healthcare checks.

Caring

Good

Updated 11 August 2017

The service remains caring. People were treated with dignity and respect and their rights were protected.

People were involved in their day to day care. People’s relatives were invited to participate each time a review of people’s care was planned.

Care plans were developed and maintained about every aspect of people’s care and were centred on individual needs and requirements.

Responsive

Good

Updated 11 August 2017

The service remains responsive. People's individual preferences and needs were known and respected by staff.

Care plans had been updated to reflect any changes to ensure continuity of their care and support.

Complaints were investigated appropriately and used to improve the quality of care provided.

Well-led

Good

Updated 11 August 2017

Led The service remains well led. The home had a clear management structure in place led by an effective registered manager who understood the aims of the service. Staff told us the morale was excellent and that they were kept informed about matters that affected the service.

Accidents and incidents were investigated to make sure that any causes were identified and action was taken to minimise any risk of reoccurrence.

Staff interacted with people positively, displaying understanding, kindness and sensitivity.