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Inspection Summary


Overall summary & rating

Good

Updated 24 October 2019

About the service

Oaklands is a residential care home, registered to support eight people in an adapted building over two floors. It provides personal care and accommodation for people with mental health needs. On the day of our visit eight people were using the service.

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

Medicine systems and processes were not fully effective to ensure people received their medicines as prescribed. For example, there was no clear audit trail, regarding who had made changes to a person’s medicines. Risks to people's safety had been assessed. However, we found the registered manager did not have access to one person’s risk assessment, as it had not been saved in accordance to the providers policy.

Some areas of the home environment required attention. For example, the kitchen tiles were greasy, as they had not been accessible by staff.

Staff told us they had received training in a range of areas to support them in their roles. Recruitment procedures ensured prospective staff were suitable to care for people receiving personal care

in their own homes. Staff were aware of how to reduce the risk of infection.

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 told us they felt safe at Oaklands. Staff understood their responsibility to safeguard people from harm and knew how to report concerns.

Care records provided information in relation to people's backgrounds, interests and the support they required.

People were supported to maintain relationships with people important to them. Staff were caring in their

approach and had good relationships with people. Staff treated people with respect and their dignity and privacy was respected.

Promoting independence was a part of the ethos of the service and people were supported by staff to maintain their independence.

People were supported to maintain their health and well-being and had access to healthcare professionals such as GP's when required. People were supported to eat and drink enough to maintain a balanced diet. Refreshments were available to people throughout the day

People and their representatives were involved in their care to enable them to receive support in their preferred way. People were supported to take part in activities and were supported to access local community facilities to enhance their well-being.

The provider’s complaints policy and procedure was accessible to people who used the service and their representatives. People knew how to make a complaint.

Systems were in place monitor the quality of the service to enable the registered manager to drive improvement. Lessons were learnt when things went wrong. Relatives and staff felt they could approach the registered manager if they had any concerns.

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 28 November 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.

Inspection areas

Safe

Requires improvement

Updated 24 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 24 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 24 October 2019

The service was well-led.

Details are in our well-Led findings below.