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Oak Lodge Residential Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 August 2019

About the service

Oak Lodge is a residential care home providing personal care to 15 people aged 65 and over at the time of the inspection. Some people were living with dementia. The service can support up to 17 people in one adapted building which is laid out over two floors.

People’s experience of using this service and what we found

Some progress had been made to address some of the concerns found at the last inspection. For example, staff recruitment procedures had become safer, a range of audits and checks had been introduced to monitor the service and a new deputy manager had been recruited to strengthen the management team. However, improvements were still required in a number of areas to improve the quality of the service.

Work had taken place to complete and review risk assessments and improve the handling of people’s money. More work was needed to make sure risk assessments were up to date and reflected people’s current needs.

The local authority was supporting the home to improve the infection control processes and told us although progress had been made, further work was needed to complete all of the required actions.

Staff knew how to keep people safe and understood how to report concerns. There were enough staff on duty to meet people’s needs and people received their medication at the right time.

Further improvements were needed to make the environment more suitable, especially for those people living with dementia. Staff received training that was relevant for their role but had not yet completed all training required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had access to healthcare services when required and told us they enjoyed the food.

People and their relatives were happy with the way care and support was provided. Staff did not always take the opportunity to engage people in conversations or activities during the day.

Staff respected people’s dignity and privacy and encouraged people to be as independent as possible.

Improvements were needed to make sure all information such as notices and policies were given to people in a format they could understand. Staff knew how people preferred to communicate.

People and their relatives were happy with the range of activities on offer and we saw end of life care being delivered with respect and dignity.

Improvements had been made to quality assurance processes, but more time was needed before these were fully implemented. The management team had made some improvements but needed to work more closely in partnership with other agencies to ensure areas for improvement were fully addressed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 17 May 2019) and there were multiple breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since May 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 21 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 21 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 21 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 21 August 2019

The service was not always well-led.

Details are in our well-Led findings below.