We carried out a review of the data available to us about OASIS Central London Office on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about OASIS Central London Office, you can give feedback on this service.
Oasis Central London Office (OCTA) is a domiciliary care agency providing personal care to people living in their own home. During the time of this inspection OCTA was providing personal care to 75 people by 40 care workers.
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
We found people were protected from the risk of harm and abuse. There were safeguarding policies and procedures in place and care workers were aware of this. Care workers had been recruited safely. They underwent appropriate recruitment checks before they commenced working at the service. Medicines were managed safely and risk in relation to carrying out the regulated activity of personal care were assessed and guidance for care workers was provided. There was a system for managing accidents and incidents to reduce the risk of them reoccurring. There were adequate systems for reviewing and investigating when things went wrong. Care workers understood their duty to raise concerns and report incidents and near misses. Care workers wore personal protective equipment (PPE) such as gloves and aprons and we were assured that appropriate infection control procedures were in place.
People received individualised care that met their needs, preferences and interests. People were supported, if needed, to express their views and preferences in relation to their care and support. The service identified and recorded how people wished to communicate. Assessments of people’s needs were in place. There was a complaints procedure, which people and their relatives were aware of. There were methods of monitoring the quality of the service. Regular checks and audits had been carried out in areas related to maintenance of the premises, health and safety, medicines management, infection control and management of accidents and incidents.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update) - The last rating for this service was requires improvement (published 2 May 2019).
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 13 March 2019 during which we found breaches of legal requirements. The provider completed an action plan after the last inspection to show what they would do and by when to improve Regulation 12 Safe care and Treatment and Regulation 17 Good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Oasis Central London Office on our website at www.cqc.org.uk.
OASIS (OCTA) Central London Office is a domiciliary care service that provides support and personal care to people living in their own homes. At the time of our inspection the service was supporting 145 people with personal care.
People’s experience of using this service:
Medicines were not always managed safely, and records were not always fully completed when people who used the service were assisted with their medicines.
Risks associated with people's care needs were not always appropriately assessed and guidance on minimising such risks lacked detail.
The service did have assessments of care needs and information for staff on how to provide support to people using the service. However, we found these did not always provide sufficient information to ensure people’s needs were fully met and responded to. We have made a recommendation about using current practice in relation to assessment of needs for people using homecare services.
Some care files lacked personalised information on how people wanted to have their care delivered. Staff knew people well and this reflected what people told us about themselves.
Quality assurance systems to assess, monitor and improve the quality and safety of the service were not always effective. There were improvements required in the monitoring of calls. Some people told us that care staff were sometimes late, and they were not always informed about this.
Staff and the registered manager knew how to spot signs of abuse and how to report them. Staff had attended safeguarding adults training.
People were supported by staff who had been through a robust recruitment process that checked they were safe to work with people who may be vulnerable.
Staff had access to training and received regular formal and informal support from their line manager.
Staff felt supported by the registered manager and felt that their feedback mattered in particular when they suggested any improvements in the relation to the quality of care provided.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practise. People told us staff asked them for consent before supporting with care tasks.
Staff supported people to remain independent and promoted their dignity. People's privacy was respected, and their personal information was kept securely.
We found the service was in breach of two regulations relating to safe care and treatment and good governance.
Rating at last inspection: This was the first inspection since registering with the Care Quality Commission (CQC) in June 2018.
Why we inspected: This was a planned comprehensive inspection
Follow up: We will continue to monitor intelligence we received about the service until we return to visit as per our re-inspection programme. If any concerning information was received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk