Background to this inspection
Updated
18 March 2020
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection Team
This inspection was completed by one inspector.
Service and service type
Oakleigh 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.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had 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 spoke with three people and two relatives to gain their views about the service. We spoke with two members of staff and the registered manager. We also spoke with one healthcare professional.
We reviewed a range of records. These included three people’s care plans, risk assessments and medicines records. We looked at three staff files in relation to recruitment, training and supervision. We also looked at records relating to the management of the service such as audits and a variety of the provider’s policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. The provider sent us quality assurance records.
Updated
18 March 2020
About the service
Oakleigh House is a care home for up to five people that specialises in the care and support of people with mental health conditions. At the time of the inspection, five people were using the service.
People’s experience of using this service and what we found
People’s care plans were person centred. However, information contained in the care plans was often repetitive and lacked consistency.
We have made a recommendation about care planning documentation.
The service had safeguarding procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks had taken place before staff started work and there were enough staff available to meet people’s care and support needs. Risks to people had been assessed to ensure their needs were safely met. The service had procedures in place to reduce the risk of infections. People’s medicines were managed safely.
People’s care and support needs were assessed when they moved into the home. Staff were supported through training, regular supervision and annual appraisals of their work performance. 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. People were supported to maintain a healthy balanced diet and they had access to health care professionals when they needed them.
Staff were kind and caring and people’s independence was promoted. People’s privacy and dignity was respected. People and their relatives [where appropriate] had been consulted about their care and support needs.
People received person centred care which met their needs and preferences. People were supported to maintain relationships and engage in activities they enjoyed. The home had a complaints procedure in place. People were supported to make decisions about their preferences and choices for their end of life care.
The registered manager and staff worked in partnership with health and social care providers to plan and deliver an effective service. There were systems in place to monitor the quality and safety of the service. The service took the views of people and their relatives into account through surveys and meetings. Staff enjoyed working at the home and said they received good support from the registered manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18 August 2017).
Why we inspected
This was a planned inspection based on the 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.