Background to this inspection
Updated
15 December 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 1 inspector and 2 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Oasis Care and Training Agency is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 13th October 2023 and ended on 10th November 2023. We visited the location’s office on 19th October 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke to 6 people who use the service and 18 relatives about their experience of the care provided. We received feedback from 56 care workers. We spoke to the senior care coordinator, the business development and compliance manager, the quality assurance manager, the branch manager, and the registered manager.
We reviewed a range of records. This included 20 people’s care records. We looked at 10 staff files in relation to recruitment and staff supervision. We looked at a variety of records relating to the management of the service, including policies and procedures, complaint records and safeguarding audits.
Updated
15 December 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Oasis Care and Training Agency is a domiciliary care agency. It provides regulated activity to people living in their own homes. The service provides support to older people, people with learning disabilities or autism, people with physical disabilities and younger adults. At the time of our inspection there were 186 people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People's experience of using this service and what we found
Right Support: People were supported to have maximum choice and control of their lives. They were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff supported people to make decisions following best practice in decision-making.
Right Care: People were supported by staff who were trained to provide good quality care, support and treatment. People and those important to them, were involved in the planning of care. Staff understood people’s cultural needs and provided culturally appropriate care.
Right Culture: People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. Staff evaluated the quality of support provided to people, involving people and their families and other professionals as appropriate.
We saw 2 right to work in the UK checks for care workers had not been followed up. This was discussed with the registered manager and senior staff team.
The provider had a range of polices and processes in place to keep people safe. People and their relatives told us they felt safe with the care the service provided. A relative told us, “I know my [family member] is safe with them, they treat [family member] like their own family.”
Care workers had the training and experience to ensure people’s care and treatment was effective as well as safe. People told us they thought the care workers were good at their jobs. A relative told us, “When [care worker] do [family members] breakfast, they will do whatever [family member] wants and will use their initiative if I haven’t had time to shop yet.”
People and their relatives told us they thought the service was caring. We received comments like, “The [care workers] are very kind to [family member], they have developed a really good rapport”, and “I do not think there is anything [care worker] wouldn’t do for [family member]. [Care worker] just does it without comment or need for praise.”
People and their relatives told us that thought that the service was responsive, and people’s needs were well met. They told us they thought the service was managed well and senior staff and managers could be accessed when required.
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 good (published 22 January 2021).
Why we inspected
The inspection was prompted by a review of information we held about the service.
Recommendations
We have made a recommendation in relation to safe recruitment and supporting people with their diet.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.