Background to this inspection
Updated
6 December 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 team consisted of one inspector who visited on both days of the inspection.
Service and service type
The Oakleigh Residential Home Ltd 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 registered manager registered with CQC. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided. They were at the home at the time of our inspection and we were assisted by them throughout the inspection.
Notice of inspection
The inspection was unannounced. The inspection site visit activity started on 22 October 2019 and ended the following day. We visited the service on 23 October 2019 to see and speak with the people living there, the registered manager and office staff.
What we did before the inspection
We reviewed information and notifications of incidents we received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.
During the inspection
We spent time observing the care and support being provided throughout the home. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with four people who lived in the home and four visiting relatives. We also spoke with the provider, registered manager, deputy manager, a senior support worker, two care staff, domestic assistant and activities organiser and the cook.
We looked at the care records for two of the people who lived in the service. We also looked at records that related to how the service was managed including staffing rotas, staff recruitment files, training and quality assurance documents.
After the inspection
We asked the registered manager to send us further documentation following the inspection which included copies of the training records, the staff rota and minutes of meetings for the people who lived in the home, and staff meetings. These were supplied and considered when writing this report.
Updated
6 December 2019
About the service
Oakleigh Residential Home is a residential home providing personal care to 23 people, some with physical health needs and others with Dementia. The care home supports people in an adapted residential property.
People’s experience of using this service and what we found
Some of the door locks in the home could prevent people’s swift exit in an emergency. We recommended improvements on bedroom door locks and infection control.
Risks had been assessed prior to people moving into the home and infection control practices were adequate. Medicines were stored and administered safely, people were supported to have their medicines in a safe way. Recruitment checks had been carried out to ensure staff were suitable to work with people. Staffing levels were adequate to provide individual support and good overall levels of care.
Training for staff was linked to people’s individual support needs, however, some training courses had yet to be planned and undertaken. We recommended improvements to training records.
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. The staff team felt involved in the running of the home and felt supported by the provider, registered manager and senior staff. Staff had supervision to ensure they met people’s needs. Staff responded to and supported people’s health and care needs.
People were provided with a varied diet which met their individual cultural needs. Healthcare was supported by the staff and people were provided with treatment following consultations.
People were fully involved in making decisions about their care and their consent was obtained prior to offering care. People were supported by a staff team who were kind and caring and treated them in a considerate and respectful manner. Staff promoted people’s privacy and dignity.
Staff were knowledgeable about people’s individual needs, informed by well detailed care and support plans. There was a complaints process in place which was managed effectively. People had complimented the staff on the care provided. Staff had considered people’s end of life choices and made reference to this in care plans.
There were systems in place to monitor the quality and safety of the service being provided. People’s views of the service were sought through regular meetings and surveys. The registered manager understood their roles and responsibilities as a registered person. They worked in partnership with other agencies to ensure people received care and support that was consistent with their assessed needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection based on our previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.