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Oak Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 February 2021

About the service

Oak Lodge is a residential care home providing personal care for up to 28 people aged 65 and over. Eleven people were living at the home at the time of the inspection.

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

The provider had systems in place for monitoring the quality and safety of the service through the use of routine checks and audits. However, there were multiple types and methods of audits that did not always identify issues and put forward one clear improvement plan.

We recommend audits are reviewed to ensure they are effective in supporting and evaluating learning from current performance.

Medicines were managed safely at the home but some improvements were still needed. Some records were not correctly completed. Staff had now been trained and assessed as competent to administer medicines.

We recommend the service consider reviewing the guidance for staff and records for topical medicines.

We saw the provider had not followed their own recruitment policy when recruiting staff since our last inspection. The provider told us they had employed staff safely and they had already completed an action plan to ensure they followed their policy going forward.

Works were still ongoing to improve the environment in both communal areas and people's personal space. We saw new furniture, beds and mattresses had been purchased and areas such as the laundry and bathrooms were significantly improved.

There was a new management team at the service and people, relatives and staff we spoke with told us they felt supported by them.

We saw significant improvements had been made to the environment to ensure it was safe and clean. Staff were clear on the use of personal protective equipment and had been trained in infection control procedures. Measures to reduce the risk of COVID-19 were now in place.

People were happy with the care they received at Oak Lodge. Relatives we spoke with said here had been significant improvement in the communication from the service.

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.

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

Rating at last inspection

The last rating for this service was inadequate (published 24 August 2020) and there were multiple breaches of regulation. 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.

Why we inspected

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

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

As the provider has demonstrated improvements and the service is no longer rated as inadequate for any of the five key questions, it is no longer in special measures.

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 10 February 2021

The service was not always safe

Systems and processes that have been implemented have not been operational for a long enough time for us to be sure of consistent and sustained good practice. Therefore, the rating for this key question is requires improvement.

Details are in our Safe finding below.

Effective

Requires improvement

Updated 10 February 2021

The service was not always effective

Systems and processes that have been implemented have not been operational for a long enough time for us to be sure of consistent and sustained good practice. Changes to the home's environment are also ongoing. Therefore, the rating for this key question is requires improvement.

Details are in our Effective finding below.

Caring

Good

Updated 10 February 2021

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 10 February 2021

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 10 February 2021

The service was not always well-led

Systems and processes that have been implemented have not been operational for a long enough time for us to be sure of consistent and sustained good practice. Therefore, the rating for this key question is requires improvement.

Details are in our Well-Led findings below.