Oaklands Grange

Updated 9 July 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. 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.

Inspection team

The inspection was carried out by one inspector.

Oaklands Grange 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

This inspection was unannounced.

What we did before the 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 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. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service about their experience of the care provided. We spoke with three members of staff including the registered manager and registered provider.

We spent time in communal areas and the garden talking to people at length and asking them about their care and support. We also observed staff interaction and relationships with people. We reviewed a range of records this included two people’s care records. We looked two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 9 July 2019

About the service

Oaklands Grange provides support to people with mental health needs. The home was in a detached well-maintained building with well-kept gardens on a residential street in Wallasey, Wirral.

Oaklands Grange accommodates 10 people in one adapted building. At the time of the inspection there were nine people in the home.

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

Everyone we spoke with said they felt safe living at the home. Risk assessments were in place and described the course of action staff were to take to help keep people safe. Medication was well managed and stored safely. Staff adhered to infection control processes. Staff recruitment remained safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff were inducted, trained and supervised. People said they felt sometimes the food needed to be more varied.

Everyone told us the staff were kind and caring. People said their independence and privacy was up held by the staff. Care plans were signed by people, and people confirmed they had been involved in completing their care plans.

The registered manager had implemented new person-centred care plans which contained information about people’s support needs, their medical diagnosis, and their routines. There was a complaints procedure in place and everyone told us they knew who to raise concerns with. The staff had been trained in end of life care, and people’s last wishes had been discussed with them.

There was a registered manager in place and people spoke positively about them. The manager was aware of their roles and responsibilities. People had been engaged with and asked for their feedback, and there was good partnership working between the registered manager and the registered provider. Audits took place and action plans were developed and allocated.

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. (Report published 5 October 2016)