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Archived: Oakwood Grange

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Inspection report

Date of Inspection: 4 June 2014
Date of Publication: 27 June 2014
Inspection Report published 27 June 2014 PDF | 89.56 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 4 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

Care and treatment was being planned and delivered in a way that ensured people's safety and welfare.

Reasons for our judgement

The manager explained the systems and process in place for the assessment and care planning of people who used the service to ensure that people’s needs were met. This included an initial assessment by the manager or deputy.

The manager said no-one had a DoLS in place, but systems were in place to apply for an authorisation if one was required. This demonstrated that safeguards in line with current legislation were being implemented appropriately in order to protect people’s safety and welfare.

The manager explained to maintain continuity of care, in particular for people with dementia staffing was arranged so that in the main staff worked on one particular floor.

Comments from people who used the service and their family members about their experience of the care provided by the home included, “it’s excellent care. I can’t fault it. They have all the equipment they need and everything we ask, they’ve done. There’s plenty of activities. Whenever we visit [family member’s] clothes are always clean, their nails are clean and mum’s hair’s immaculate. I feel privileged my mum’s here. We’re involved with all discussions about mum’s care and we’ve been involved in the care plan. I listen from my mum’s room and know it’s not put on. I’ve never heard a negative tone from staff”, “it’s perfect, I’ve no grumbles. If you ask, you get. You couldn’t get better staff. There’s enough [activities] to keep us going. They’ll get a doctor. You can get a bath/shower when you want and get up and go to bed when you want. I’d rate it 10/10” and “I see good quality care and they show the same diligence all of the time, be it 10:30 in a morning or 20:30 at night and it’s never changed from the day I came to now. They do it right. It’s professional and efficient. They take time to get to know everybody, so that they can short circuit people’s thoughts and therefore ease their distress. Everyone’s world exists, because they plug into it so readily. Everyone is a person. They work with health professionals. They’re compassionate to the nth degree. They grieve when somebody goes. This place should be a beacon for how things should be done, because good practice is engrained”.

People and family members told us of activities that took place including a two weekly exercise class, outside entertainers and the Salvation Army. Some people told us they liked to go for a walk around the grounds.

Family members described how the service carried out an assessment of their family member before they were admitted. This was to see if the service could meet their needs, whether they would get on with other people who used the service and to obtain information about their life history. The provider may wish to note some said they hadn’t been involved with their family member’s care plan since they had been admitted to the home.

We spoke with two healthcare professionals. We asked them about their experience of the home and one of them said, “the staff are incredibly caring, the care’s good, it’s a credit to them, they work with us. I’ve no concerns and feedback on the ground is generally positive”.

We saw staff engaging with people who used the service. This demonstrated positive relationships had developed. Staff treated people with kindness and compassion when providing their day to day care and responded in a caring way to people’s needs. Our observations demonstrated that staff had a clear knowledge of people’s individual likes and preferences.

There was a relaxed, friendly atmosphere and we saw good humour, banter and laughter taking place between people who used the service and staff. We saw that people went about their daily lives and moved around the home as they wished. Throughout the day we saw a number of people spending time reading newspapers and carrying out word searches. We observed staff talking with people and music playing and people singing along, which encouraged discussion with people about their school days. We saw people engaged in a