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Inspection Summary


Overall summary & rating

Good

Updated 6 January 2018

This unannounced inspection took place on 22 November 2017. At our last inspection of 09 November 2015, the service was rated ‘Good’. At this inspection we found the service remained ‘Good’.

Oatlands Care Ltd 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 care home is registered to accommodate up to 43 people across three separate units over three floors, each of which have separate adapted facilities including dining rooms and sitting areas. There were 25 people living at the home when we visited.

The service had a registered manager who had worked at the service for several years. 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.

At this inspection we found that people’s medicines were still managed in line with safe medicine administration and management guidelines. Medicines were administered as prescribed. Records were correctly completed and medicines were stored in a safe way.

People were protected from avoidable harm. Management plans provided guidance to staff to mitigate risks to people. Staff were trained on safeguarding adults from abuse. They understood signs of abuse and how to report it in order to protect people. There were sufficient staff deployed to meet people’s needs and recruitment checks were conducted before new staff were employed.

The provider maintained health and safety systems, and carried out regular checks to ensure the environment continued to be safe. Staff were trained in infection control and knew the procedures to reduce risks of infection and cross contamination. The service was clean. Records of incidents and accidents were maintained, and the registered manager reviewed them to ensure lessons were learned and to reduce the risk of repeat occurrence.

People’s needs were assessed, planned and delivered in a way that met their individual needs and requirements. People and their relatives were involved in reviewing their care plans. Staff updated people’s care plans in line with their changing needs and preferences.

People’s nutritional needs and dietary requirements were met. Staff received training, support and supervision to provide effective care to the people, and to carry out their duties effectively. People had to access to healthcare services they needed to maintain good health. The provider had arrangements and systems in place to enable people receive consistent care when they moved between services and departments.

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. People gave consent to the care and support they received. The service complied with the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Relatives and healthcare professionals were involved in making decisions for people in their best interests where this was appropriate.

Staff were kind and compassionate to people. They provided people with reassurance and comfort when needed, and treated them respectfully, maintaining their independence and dignity. Staff also communicated with people in a way they understood.

Staff were trained in end-of-life care. People’s end-of-life wishes were documented in their care plans, to ensure these implemented appropriately. People were also encouraged to participate in activities they enjoyed. The service supported people’s needs with regards to their disabilities, culture and religion. Staff had

Inspection areas

Safe

Good

Updated 6 January 2018

The service remains Good

Effective

Good

Updated 6 January 2018

The service remains Good

Caring

Good

Updated 6 January 2018

The service remains Good

Responsive

Good

Updated 6 January 2018

The service remains Good

Well-led

Good

Updated 6 January 2018

The service remains Good