Archived: Oaklands Care Home

Updated 26 July 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by one inspector, an Expert by Experience and one specialist advisor on 9 July 2019. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert’s area of expertise was older people and dementia. The specialist advisor was a nursing professional. On the 10 July one inspector returned to the home to complete the inspection.

Service and service type

Oakland's is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with eight people who used the service and six relatives about their experience of the care provided. We spoke with a nurse, six care staff, the chef, and the registered manager. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of documents and records including the care records for eight people, and three staff files and training records. We also looked at records that related to the management and quality assurance of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 26 July 2019

.About the service

Oakland's care home is a residential care home providing personal and nursing care for up to 40 older people, some of whom live with dementia. At the time of the inspection the service was supporting 34 people. The care home accommodates people in one adapted building.

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

Systems were in place to gain feedback from people, but action was not taken in a timely manner to respond to areas that were identified for improvement. Call bells were not always accessible to people, but action was taken to address this. The registered manager took immediate action to ensure people’s needs were responded to in a timely manner, and people had access to meaningful engagement with staff.

People told us they felt safe, and staff were aware of any potential risks when providing support to individuals. People received their medicines as required. Staff wore gloves and aprons to ensure they protected people from cross infection. Lessons were learned from any incident and accidents that had occurred in the service.

Staff had received training for their role and felt supported. People accessed healthcare services to ensure they received ongoing healthcare support. People, as much as practicably possible, had choice and control of their lives and staff were aware of how to support them in the least restrictive way and in their best interests; the policies and systems in the service supported this practice.

People made positive comments about the staff that supported them. People told us the staff encouraged them to be independent, protected their privacy and treated them with dignity and respect.

People had care plans in place which provided staff with information about their needs and preferences and how they would like these to be met. A complaints procedure was in place and people and their relatives knew how to raise concerns and felt confident these would be addressed.

People, relatives and staff thought the service was managed well. The registered manager was described as approachable, open and transparent in the way they managed the service. Systems were in place to monitor the delivery of the service.

Rating at last inspection

The last rating for this service was good (published 6 December 2016).

Why we inspected

This was a planned 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 any concerning information we may inspect sooner.

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