Background to this inspection
Updated
22 March 2019
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:
One inspector carried out the inspection.
Service and service type:
This service provided care and support for up to 20older people. At the time of the inspection, 14 people were using the service.
The service had a registered manager who registered with the Care Quality Commission. This means 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 provider was not given notice of the inspection.
What we did:
Before the inspection we reviewed the information we held about the service and the service provider. We did not ask the registered provider to complete a Provider Information Return (PIR). We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
During the inspection, we spoke with six people, two care workers, the registered manager and the business manager. We spoke with two relatives and two visitors. We also spoke with an external health care professional. Everyone we spoke to described the service positively and had no concerns.
We looked at the care and support records of three people, reviewed medication records, policies and procedures and reviewed the providers recruitment processes. After the inspection we received additional information which was used to support our judgements.
Updated
22 March 2019
Three Oaks Residential Care Home is a care home providing accommodation and support for up to 20 older people. The home is situated in North Boarhunt, Hampshire. At the time of the inspection there were 14 people living at the home.
People's experience of using the service
• Governance systems were not consistently effective in recognising areas for improvement.
• People were kept safe and secure from risk of harm. Potential risks to people had been assessed and managed appropriately by the provider. People received their medicines safely and as prescribed and were supported by sufficient numbers of staff to ensure that risk of harm was minimised.
• Staff had been recruited appropriately and had received relevant training so they were able to support people with their individual care and support needs.
• Staff sought people’s consent before providing care and support. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
• People were treated with kindness and compassion. People’s rights to privacy were respected by the staff who supported them and their dignity was maintained. People were supported to express their views and be actively involved in making decisions about their care and support needs.
• People’s choices and independence were respected and promoted. Staff responded appropriately to people’s support needs. People received care from staff that knew them well.
• People using the service were confident about approaching the registered manager if they needed to.
Rating at last inspection:
At our last inspection in December 2016 the home was rated good. At this inspection we found the management of the service required improvement because governance systems were not consistently effective.
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated overall as good.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.