Oaklands House Residential Home

Updated 5 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was undertaken by one inspector.

Service and service type:

Oaklands House Residential Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. Oaklands House Residential Home accommodates up to 29 older people in one adapted building. During our comprehensive unannounced inspection, there were 27 people using the service, some living with dementia.

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:

Prior to the inspection we gathered all the information we held about the service and used it to develop a plan for the inspection. We reviewed information provided to us from the Local Authority quality teams and information we received from the provider by way of notifications. Notifications are required by law and identify incidents that had happened in the service and the actions taken in response, including pressure ulcers, safeguarding and serious injury.

We also used the information sent to us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

To gain people’s views and experiences of the service provided, we spoke with seven people who used the service and one person’s relative. We looked at the care records of three people who used the service, including risk assessments, care plans and records relating to medicines. We also observed the care and support provided and the interaction between people and staff throughout our inspection.

We spoke with the registered manager, the regional director, regional clinical support and seven members of staff, including the head of care, senior care, activities, domestic, maintenance and catering staff.

We reviewed information the service held about how they monitored the service they provided and assured themselves it was meeting the needs of the people they supported. This included accident and incident records, audits, and staff training and recruitment records.

Updated 5 June 2019

About the service:

Oaklands House Residential Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. Oaklands House Residential Home accommodates up to 29 older people in one adapted building. During our comprehensive unannounced inspection, there were 27 people using the service, some living with dementia.

People’s experience of using this service:

At our last inspection of 1 November 2016, the service was rated requires good overall. The key questions for safe, effective, caring and well-led were rated good and the key question for responsive was requires improvement. At this inspection of 6 March 2019, we found the evidence continued to support the overall rating of good and improvements had been made in responsive.

People told us that they were very happy using the service and their individual needs were being met.

Staff were motivated to ensure people lived as full lives as possible. Staff were responsive to people’s individual needs. Activities were provided, which were designed in consultation with the people who used the service.

There were systems designed to keep people safe, including from abuse. Risks to people in their daily lives were assessed and plans in place to reduce these. People’s medicines were managed safely.

There were enough trained and skilled staff to meet people’s needs. Recruitment processes were safe.

There was an ongoing programme of improvement in the environment. Infection control procedures safeguarded people from the risks of cross infection.

People had access to health professionals when needed. People were supported to maintain a healthy diet.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People shared positive relationships with staff. People’s privacy, independence and dignity was respected. People were listened to in relation to their choices about how they wanted to be cared for.

There was a complaints procedure in place and people’s complaints were addressed. People were asked for their views about the service and these were valued and listened to.

The service had robust systems to monitor and assess the service provided.

Rating at last inspection: At our last inspection of 1 November 2016, which was published 6 December 2016, the service was rated good.

Why we inspected: This inspection took place as part of our planned programme of inspections, based on the rating of good made at our last inspection.

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

Follow up: We will continue to monitor this service according to our inspection schedule.