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Red Oaks Care Community Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 July 2019

About the service: Red Oaks Care Community is a care home which provides personal and nursing care for up to 40 people, some of whom are living with dementia. There were 25 people living there at the time of this inspection.

People’s experience of using this service: People did not always receive effective care that was personalised to their needs. There was not always guidance to make sure they received the right support with medicines.

Although some clinical training for nurses has improved, staff had not been provided with training in some specific needs of people, including support with distressed behaviours.

The service was not always following the principles of the Mental Capacity Act 2005. There was contradictory information about who could support people to make decisions where they lacked capacity.

The provider’s quality assurance checks had not been effective in highlighting the gaps in medicines, personalised support and record keeping.

Most people and relatives felt staff were kind and friendly. People were treated with respect. People being nursed in bed were provided with some one-to-one support to prevent social isolation. There was a range of activities for people to join in if they chose.

People were supported to use local health services and a visiting healthcare professional said there was good communication with the home.

The provider had encouraged people and relatives to give their views. Monthly meetings were being arranged for people and their relatives. A complaints policy was in place although recent complaints and actions taken had not been recorded.

Staff said they felt able to approach the manager with any comments or concerns. They felt morale at the home was improving. The manager held daily morning meetings with senior staff from all departments.

Relatives felt that there had been some improvements since the new manager took up post. They felt there was a more consistent staff team and communication had improved.

Rating at last inspection: Requires Improvement (report published in November 2016).

Why we inspected: This was a planned inspection to assess what improvements had been made by the registered provider.

Enforcement: We have identified continued breaches in relation to staffing and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up: We asked the provider to submit to the Commission an action plan to show how they will make changes to ensure the rating of the service improves to at least Good. We will monitor the progress of the improvements, working alongside the provider and local authority. We will return to visit as per our re-inspection programme.

Inspection areas

Safe

Requires improvement

Updated 19 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 19 July 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 19 July 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 19 July 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 19 July 2019

The service was not always well-led.

Details are in our Well-Led findings below.