Background to this inspection
Updated
26 April 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 inspection was carried out by one adult social care inspector.
Service and service type:
HF Trust – Oaktree House 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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
Notice of inspection:
This inspection was unannounced.
What we did:
• We asked the provider to complete a Provider Information Return (PIR.) This is key information providers are required to send about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
• We looked at notifications received from the service. A notification is the means by which providers tell us important information that affects the running of the service and the care people receive.
During the inspection we spoke with;
• Five people who used the service.
• Three members of staff.
• The registered manager.
• We were able to observe staff interactions with people in the communal areas.
We looked at a selection of records which included;
• Three care and support plans
• Records of staff training.
• Records of meetings
• One person’s Medication Administration Records (MAR.)
Updated
26 April 2019
About the service:
HF Trust Oaktree House is a residential care home that is registered to provide personal care to seven adults with a learning disability.
The house provided accommodation over two floors with each person having their own bedroom and sharing other facilities. At the time of the inspection seven people were living at the home.
People’s experience of using this service:
People lived in a happy and caring environment and had warm and friendly relationships with the staff who supported them and with each other.
People felt safe at the home and told us staff were always kind. One person said, “Staff are very kind and so are other people.”
People’s independence was promoted by risk assessments which minimised risks but enabled them to take part in activities of their choosing. One person told us, “I like the independence of coming and going as I please, but staff give me the confidence to do that.”
People were cared for by staff who were well supported and competent in their roles. Staff had access to a wide range of training, including training to meet people’s specialist needs. This meant people could be confident that staff had the skills needed to effectively and safely support them.
Care was personalised to each individual because staff knew people well and had information about people’s likes and dislikes. People were involved in planning their care and choosing how they lived their lives.
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 worked in a non-judgemental way and respected people’s wishes and lifestyle choices.
People were supported to maintain contact with friends and family and take part in a wide range of activities according to their interests.
People lived in a home were the provider, management team and staff were committed to monitoring standards and planning ongoing improvements to the care people received.
Rating at last inspection: Good (Previous published October 2016)
Why we inspected: This was a scheduled/planned inspection based on previous rating;
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk