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We are carrying out a review of quality at Four Oaks Healthcare Ltd. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 21 March 2017

This inspection took place on 27 January and 01 February 2017. We gave the provider a weeks’ notice so that they could help us to arrange to visit some people in their homes. This was the provider first inspection. Four Oaks Healthcare is a Domiciliary Care Agency and is registered to provide personal care to adults who live in their own homes. On the day of our inspection they were providing care to 41 people. There was a registered manager in post at the time of our inspection. 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 and associated Regulations about how the service is run.

People were safe because staff had received training and understood the different types of abuse and knew what actions they should take if they thought that someone was at risk of harm.

Staff were knowledgeable about the actions to take in the event of emergencies and about how the risks to people in respect of their care should be managed.

There were sufficient numbers of safely recruited staff to provide people with regular staff to support them.

People were happy with the support they received and were encouraged to make choices. Staff understood the requirements of the Mental Capacity Act so that people were supported to consent to their care and make choices about how they were supported.

People felt staff had the skills and knowledge to care and support them in their homes. Staff were trained and supported so that they had the knowledge and skills to enable them to care for adults in a way that met their individual needs and preferences. Where appropriate people were supported to access health and social care professionals.

Staff was caring and treated people with dignity and respect. People’s choices and independence was respected and promoted and staff responded to people’s support needs.

Staff told us that they felt supported by the registered manager and felt able to speak with him if they needed to.

There were systems in place to gather the views of people and to monitor the quality of the service. Some people shared with us what the service could do better which we told the registered manager about. The provider was open and transparent and will use the information as a learning curve

Inspection areas

Safe

Good

Updated 21 March 2017

People felt safe with the staff that provided them with support. People were safeguarded from the risk of harm because staff was able to recognise abuse and knew the appropriate action to take.

Risks to people’s health and safety had been identified and were known to the staff. This ensured people received safe care and support.

People were supported by sufficient numbers of staff that was effectively recruited to ensure they were suitable to work with people in their own homes.

People were supported by staff to take their medicines as prescribed by their GP.

Effective

Good

Updated 21 March 2017

The service was effective

People were supported by staff that had the skills and knowledge to assist them and their consent was sought before they received care and support.

People were supported by staff with healthy meals where appropriate and received medical support when it was required.

Caring

Good

Updated 21 March 2017

The service was caring.

People were treated with dignity and respect by staff that were caring and treated them as individuals.

People’s privacy and dignity was maintained and independence was encouraged where possible.

Responsive

Good

Updated 21 March 2017

This service was responsive.

People’s opinions and choices mattered to the service and they were involved in planning their care. People were supported in a personalised way and staff were responsive to changing needs.

People's views about the service were sought and there was a complaints process in place so that people could raise any concerns they had.

Well-led

Good

Updated 21 March 2017

The service was well led.

People were happy with the service they received and staff were happy working for the registered manager and felt valued.

There were systems in place to assess and monitor the quality of the service. Some people had not utilised these systems when providing feedback to the provider.