10 December 2018
During a routine inspection
Oaklands Nursing and Residential Home provides accommodation for 44 people who need either nursing or personal care. At the time of the inspection, there were 41 people accommodated in the home.
The service is situated in a quiet residential area in Harle Syke, Briercliffe on the outskirts of Burnley. There are two floors that can be accessed by a passenger lift or stair lift. All rooms are single occupancy and some of these offer ensuite facilities. There are attractive garden areas and adequate parking for visitors.
At our last inspection of June 2016, the service was rated Good. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The management team were committed to the continuous improvement of the service and were dedicated to making people feel valued and improving people’s care and self-esteem. Evidence showed they followed best practice and pursued opportunities to influence care in order to attain better outcomes for people living at the home. Quality assurance systems were robust and used to make improvements in the home. People had a wide range of opportunities to provide feedback on the care provided. Feedback from people and their relatives was extremely positive.
People were supported by staff who were extremely kind, enthusiastic and caring. We observed all staff interacting with people and their relatives in a meaningful and caring way which made people feel they mattered to the staff who supported them. Staff enjoyed working at Oaklands Nursing and Residential Home. We observed a strong, family-orientated service where staff were encouraged to demonstrate highly respectful and caring attitudes towards the people they supported.
People were more than happy with the care and support they received. Without exception, they told us they were treated with care and kindness and were treated equally and fairly. People received care which recognised their individual differences and respected their right to be treated with dignity and respect. The service provided outstanding end of life care to ensure people's end of life was as comfortable, dignified and pain free as possible.
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 practice. Staff fully understood the importance of acknowledging people’s diversity, treating people equally and ensure that they promoted people’s rights. We saw people’s cultural and spiritual needs were discussed and recorded in their care plans.
People were engaged in varied and meaningful activities which met their individual interests; to support this the home had developed links with organisations in the local community to help enhance people’s quality of life.
Care plans and risk assessments were person centred and provided guidance for staff on how to provide safe and effective care. There were established arrangements in place to ensure all care plans were reviewed and updated as people’s needs changed. Where necessary, staff made referrals to external professionals to ensure people’s health needs were met.
People told us they felt safe. Staff had received training in the protection of vulnerable adults and knew what action they should take if they suspected or witnessed abuse. Lessons were learned from any accidents, incidents or safeguarding matters.
People received their medicines when they needed them from staff who had been trained and had their competency checked. People were cared for in a safe, comfortable and clean environment. People told us they enjoyed the food provided.
Staff had been safely recruited and received the induction, training and support necessary to enable them to deliver effective care. There were sufficient numbers of staff on duty to meet people’s needs in a flexible way which met their preferences and promoted their independence. We noted the number of care hours provided, regularly exceeded the assessed number of hours as indicated by the provider’s staff assessment tool based on people’s dependencies
Further information is in the detailed findings below.