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Oakridge House Care Home with Nursing Good

Inspection Summary


Overall summary & rating

Good

Updated 20 September 2018

This inspection was unannounced and took place on the 2 and 8 August 2018.

Oakridge House Care Home with Nursing is a care home service which also provides nursing care. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided. Both were looked at during this inspection.

Oakridge house is registered to provide nursing and residential care for up to 91 people who have a range of needs including diabetes, dementia and epilepsy.

At the time of our inspection 91 people were living at Oakridge House. Oakridge House is a two storey building set in secure grounds on the outskirts of Basingstoke. The home comprised two units; one for residential and one for nursing care. The units are further divided into areas. Each nursing area is managed by a registered nurse and includes a dining room with basic kitchen facilities as well as a lounge and quiet seating areas. There is a central, secure garden with seating and raised planting areas which are accessible to people living in the home.

The service was last inspected in July 2017 and was rated as ‘Requires Improvement’ overall. This was due to staff not taking appropriate steps to ensure people’s safety and wellbeing, ineffective systems to support staff in giving people maximum choice and control over their lives, incomplete documentation relating to the care people received, and quality assurance systems which were not always effective in identifying risks.

The provider had not ensured effective systems were in place to make sure they assessed and monitored the quality of the service provided. This was a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014.

At this inspection we found the provider had made the required improvements so that they were no longer in breach of this regulation.

The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Effective systems and processes were in place to protect people from harm and abuse. Staff had completed safeguarding training and were knowledgeable about actions to take if they suspected abuse. The provider deployed sufficient numbers of staff to meet people's needs and keep them safe.

The provider used safe recruitment processes to ensure only staff who were suitable to work in a care setting were employed. Medicines were stored, recorded and administered safely and people were protected from the spread of infection.

People received care from skilled, knowledgeable staff who had been appropriately trained. Staff were supported with regular supervision and training to help develop their knowledge.

Staff were aware of the legal protections in place to protect people who lacked mental capacity to make decisions about their care and support.

People were supported to maintain a balanced diet. Snacks and drinks were available at all times and risk assessments were in place for those at risk of malnutrition and dehydration. People were supported to access care from appropriate health professionals.

Staff had developed bonds with the people they supported and knew them well. Staff encouraged people to communicate their needs and protected their privacy, dignity and independence.

Care plans were written in partnership with people and their families or legally appointed representatives where appropriate.

There were procedures in plac

Inspection areas

Safe

Good

Updated 20 September 2018

The service was safe.

People were protected from harm and abuse. Suitable numbers of staff were deployed to meet people’s needs. Risks to people’s safety were identified and managed.

Medicines were managed appropriately. People were protected from the spread of infection.

Staff reflected on incidents to improve care.

Effective

Good

Updated 20 September 2018

The service was effective.

The provider trained staff appropriately to meet people’s needs. People were supported to maintain a balanced diet.

Staff worked effectively with healthcare professionals to ensure people received healthcare support.

Staff sought consent from people before carrying out any care or treatment.

Caring

Good

Updated 20 September 2018

The service was caring.

Staff were kind and compassionate and had developed bonds with the people they supported.

People were supported to express their views.

Staff treated people with dignity and respect at all times.

Responsive

Good

Updated 20 September 2018

The service was responsive.

People and their families were involved in planning care which met their needs.

People knew how to complain and their complaints were responded to promptly.

Plans were in place to provide end of life care to those who required it.

Well-led

Good

Updated 20 September 2018

The service was well led.

The registered manager maintained a supportive culture and displayed clear leadership. Staff responsibilities were clearly outlined.

There were effective systems in place for monitoring the quality of the service.

The provider involved people, relatives and staff in decisions about the service.

The provider worked effectively in partnership with healthcare professionals to meet people's needs.