Oaklands

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Good. At this assessment the rating has remained Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider had effective processes in place to assess and review people’s physical, emotional, and social care needs before they moved into the service. One relative told us, “They came to [person] in hospital before admission”.

People and those involved in their care took part in assessments and reviews. Their views and opinions were respected, listened to and implemented as part of the day-to-day support. Staff knew people well and understood their individual needs. Care plans were detailed and clear to follow.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People were supported in line with their needs, including their nutrition and hydration needs. People and relatives’ feedback about food provided was good. One person told us, “We are well fed.” A relative added, “The homemade sweet treat every afternoon is a favourite.”

Staff told us people's care plans were kept up to date to include their current needs, how these were to be met and desired outcomes. Staff told us they assisted people to access the support they needed from other professionals and services.

Processes were in place which showed people’s needs had been identified and continued to be reviewed and amended. Where people had specific nutritional requirements, staff were aware of these and supported people accordingly. Nationally recognised assessment tools were used. Concerns were escalated quickly and acted on. Support from specialist teams was sought when required.
 

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

There was good communication and joint working between the service and professionals. We received positive feedback from people and professionals. A health professional told us, “We both work very closely with the Oaklands home manager and deputy, who provide excellent partnership working and close communication with us. We do not have any concerns of the quality of care the Oaklands nursing home staff provide their residents and we are very confident that they maintain high levels of safety and person-centred care.” A relative added, “Regular family meetings were held to make suggestions, and these were acted upon.”

Staff told us examples of how they worked with community health and social care teams to assess and meet people’s needs. One member of staff said, “We all play a part in the team and are all valued. We work together to care for our people.”

Staff used a range of tools to help assess people’s needs and determine if any further action or changes were required.
 

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and, where possible, reduce their future needs for care and support.

People told us they received support to access healthcare, inside and outside of the service. The registered manager told us how staff recognise when there are changes in people’s health and wellbeing. They gave examples of working closely with people and relevant professionals to maintain their health and keep them well.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People experienced positive outcomes and had planned goals for the future. Feedback from staff confirmed people’s care and progress were monitored. Staff were knowledgeable and supportive of people's goals and wishes. One person told us, “There are lots of activities to join in with, I like painting and flower arranging. I am able to have lots of friends and family to visit so I can keep in touch with people.” Processes were in place to ensure people’s outcomes were monitored, and any changes were implemented. This was evidenced in people’s care plan reviews. Care plans were audited to ensure regular reviews took place and any actions were followed up.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People had been assessed for their capacity to consent to aspects of their care. When people were assessed as lacking capacity to make specific decisions, best interest decisions were carried out. These were documented and showed who was involved in the decision-making process and how the decision had been reached. A relative told us, “We were involved in shared decision making to ensure [my relative] was safe and calm.” Staff knew about consent and had received appropriate training.