Archived: The Oasis

Updated 22 July 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector.

Service and service type

The Oasis is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with nine people who used the service. We spent time observing care to help us understand the experience of people who could not talk with us. We spoke with nine members of staff including the cook, both care manager's, quality assurance and compliance lead and the registered manager. We reviewed a range of records. These included multiple medicines records and three people’s care plans. We looked at three staff files in relation to recruitment. We looked at a variety of records relating to the management of the service, including policies and procedures.

After the inspection

We sought feedback from six relatives. We looked at training data and a variety of quality assurance records. We spoke with a health professional who regularly visited the service. We continued to seek clarification from the provider to validate evidence found.

Updated 22 July 2021

About the service

The Oasis is a residential care home providing personal and nursing care to 30 people aged 65 and over at the time of the inspection. The service can support up to 35 people.

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

There were effective systems in place for the management of medicines which meant they were no longer in breach of regulations.

Medication Administration Records (MAR) showed people received their medicines as prescribed and these records were completed accurately. Guidance was in place for staff to follow when people were prescribed medicines to be administered on an 'as required' [PRN] basis. Staff had been trained to administer medicines and had been assessed as competent to do so safely.

Quality assurance and governance systems had been embedded into practice and were used effectively to drive improvements within the service. People, relatives and staff told us they felt the service was well led. There was a positive culture in the service where staff worked together towards the best outcomes for people.

People and their relatives told us they were safe living at The Oasis and there were appropriate systems in place to protect people from the risk of abuse.

Care plans and risk assessments provided staff with the information they needed to manage risk and keep people safe.

The premises were clean and tidy. Infection prevention and control measures and practices were in place to keep people safe and prevent the spread of infections. Staff had received infection control training. They had access to sufficient stocks of personal protective equipment (PPE).

The service followed safe recruitment practices and people were cared for by sufficient numbers of staff to ensure that people's care needs were met.

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 requires improvement (published 16 August 2019).

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

The inspection was requested by the provider as they were concerned their current rating was having an impact on their business.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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 COVID-19 and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Oasis on our website at www.cqc.org.uk.

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.