Oasis Healthcare Solutions Ltd

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first inspection for this provider. This key question has been rated good. This meant people were safe and protected from avoidable harm.

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 had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Staff understood the importance of reporting accidents and incidents and felt confident to raise concerns. The registered manager reviewed incidents, shared learning with staff through meetings and discussions, and took action to reduce risks and improve care. used clear systems to reduce risks. For example, when one person’s care needs changed, additional training was introduced to ensure staff had the skills and knowledge to meet their needs safely.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different providers.

People’s needs were assessed before they receive care and support from the provider. Where appropriate, referrals were made and information was shared with external professionals to help ensure continuity of care, including during hospital admissions.

People and their relatives told us staff communicated well with external professionals, such as GPs, physiotherapists and community dieticians. We also received positive feedback from external professionals about the provider’s communication and collaborative working.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The service shared concerns quickly and appropriately.

People who were able to share their views told us they felt safe receiving care and support from the provider. Where people were unable to provide feedback themselves, their relatives told us they were confident their loved ones were safe when receiving support at home. One relative said, “I do feel that my loved one is safe with the support provided. In the 13 months since they have been caring for our [loved one], there have been no instances where I have worried about [our loved one] safety.’’

Staff had completed safeguarding training, with regular updates in place to ensure their knowledge remained current. They were confident in raising concerns with the registered manager and understood how to escalate externally if required. Staff also spoke positively about the on-call system and the support available to them. One staff member told us, “The on-call support is helpful. There’s always someone available if you need advice or help especially outside normal working hours.’’

The provider worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Risks to people were clearly identified and assessed, with easy-to-follow guidance available for staff. Staff demonstrated a good understanding of the risks associated with people’s care and explained how they followed risk assessments and care plans to keep people safe. They told us risk assessments were clear, regularly reviewed and easy to follow, outlining potential triggers, early warning signs and actions required to manage risk safely.

One staff member descried how a person’s epilepsy risk assessment clearly explained how to support them if they experienced multiple seizures and became anxious, including de-escalation techniques, effective support strategies and when to seek additional assistance. Staff told us this helped them to feel confident in managing risks safely. They had access to the information they needed and had completed relevant training.

The registered manager and senior staff carried out regular spot checks to ensure risks were being managed consistently.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Environmental risk assessments were assessed and considered as part of people’s care and support. Staff were trained to use equipment safely, including moving and handling equipment, and had access to guidance on responding to environmental emergencies, such as gas or water leaks.

Environmental assessments were in place for most people; however, we identified that Personal Emergency Evacuation Plans (PEEPs) were not in place for all people. During the inspection, the provider took immediate action to begin the implementation of PEEPs for all people, ensuring that clear guidance was in place to support safe evacuation in an emergency. This demonstrated a responsive approach to addressing identified gaps.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

People and their relatives were positive with the care provided. One relative said, “I have no concerns and no complaints.’’ Another relative commented, “Staff know very well what to do.’’ A further relative stated, “I feel that the staff are appropriately trained and able to meet my loved one’s needs. They follow a detailed care plan and communicate with me whenever they have concerns or if anything changes.’’

An external professional also confirmed they had no concerns regarding staffing standards, stating, “Oasis staff are recruited and trained to meet the identified needs of our funded individuals; no concerns around their standards or quality.’’

Safe recruitment procedures were in place to ensure the required checks were completed before staff commenced employment. This included enhanced Disclosure and Barring Provider (DBS) checks for adults. DBS checks provide information including details about convictions and cautions held on the police national computer. The information helps employers make safer recruitment decisions.

Staff received a structured induction which included shadowing experienced colleagues, competency assessments, and ongoing support. Training was delivered through a combination of online training and face-to-face sessions. Ongoing supervision and spot checks were also in place to support staff development and ensure safe and effective practice. One staff member said, “Communication is open, colleagues support each other and there is a positive working culture.’’

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

Staff received training in infection prevention and control to support them in following best practice guidance. They told us there was sufficient personal protective equipment (PPE) available, including gloves and aprons.

Relatives confirmed that staff regularly used the required PPE during care and disposed of it appropriately afterwards. Relatives also told us that staff respected their homes and ensured areas were left clean after providing support.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened.

People received their medicines as prescribed, and staff understood safe medicines practices. Guidance was in place for ‘as required’ medicines and paraffin-based skin products, due to the associated increased fire risk. Medicines were administered safely, taking into account people’s needs and preferences. Safe systems were in place covering ordering, storage, administration, and disposal of medicines. Staff received appropriate training and regular competency checks, and senior staff carried out audits to ensure procedures were consistently followed.