Updated 29 December 2018
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, 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 two adult social care inspectors.
Service and service type:
The Oaks is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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:
The inspection was unannounced which meant that they did not know we were coming.
What we did:
Prior to our inspection we looked at all of the information we held about the service. This included any safeguarding investigations, incidents and feedback about the service provided. We looked at any statutory notifications that the provider is required to send to us by law. We also looked at 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. We also contacted professionals who provided feedback about their experiences of the service. We used a planning tool to collate all this evidence and information prior to visiting the service.
We were unable to obtain feedback from people who used the service due to their limited ability to communicate with us. Therefore, to understand the experiences of people living at the service we undertook observations and interactions between people and staff. We spoke with two relatives of people living in the service. We also spoke with three staff members, the operations director and the registered manager who took overall responsibility for the service. We looked at a variety of records which included the care files for two people living in the service and three staff files. We also reviewed a number of records relating to the operation and monitoring of the service. These included, audits, servicing and checks. Along with feedback about the service, training records duty rotas and team meetings.