We carried out a review of the data available to us about Oxclose Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Oxclose Lodge, you can give feedback on this service.
We found the following examples of good practice.
When people had tested positive, they followed the most recent government guidance. People were supported to isolate according to their needs.
Staff had been trained in infection prevention and control, food hygiene and COVID-19. They had also been trained in hand washing and donning and doffing (putting on and taking off) personal protective equipment (PPE). Staff had been checked as to their competency in hand washing and donning and doffing PPE.
There was a RAG (Red, Amber, Green) rated system in place which guided staff as to the approach to take depending on COVID-19 being present. Red being the highest alert where staff were required to change clothing on entering and leaving the building to prevent cross contamination.
A regular programme of testing for COVID-19 was in place for staff and people who lived in the service. This meant swift action could be taken if anyone received a positive test result. Staff and people using the service had all received their vaccines and booster.
We saw that cleaning took place throughout the day and touch points were regularly sanitised. We could see that this was evidenced on the cleaning schedule.
Policies, procedures and risk assessments related to COVID-19 were up to date which supported staff to keep people safe.
The service provides accommodation and personal care for up to five people living with a learning disability and or autistic spectrum disorder, physical disabilities and complex health conditions. At the time of our inspection there were four people living at the service.
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.
People's experience of using this service and what we found
People received safe care and treatment. Risks associated with people's care needs were assessed, planned for and monitored. Staff were knowledgeable about risks and had detailed guidance on the action required to manage and reduce risks.
Staff had received safeguarding training and protected people from avoidable harm. When errors occured, action was taken to reduce reoccurrence and lessons were learned.
There were sufficient staff employed and deployed effectively to meet people's individual needs and safety. Safe staff recruitment checks were completed before staff commenced their employment.
People's medicines were managed safely. People had complex health care needs and staff had detailed guidance of the care required. Staff worked well with external healthcare professionals and were also supported by internal health professionals in people's ongoing care and treatment.
The prevention and control of infections were minimised due to infection control best practice being followed. Health and safety checks were completed regularly on the premises, environment and care equipment.
People received effective care and treatment from staff who were well trained, supported and knew them well. People were supported with their nutrition and hydration needs and this was effectively managed.
Where people were unable to make specific decisions regarding their care, the Mental Capacity Act 2005 principles were applied. People were consistently supported to have maximum choice and control of their lives and had been supported in the least restrictive way possible.
People received care and treatment from staff who were very kind, caring and had a person-centred and positive approach. Relatives were exceptionally positive about the approach of staff who they described as going above and beyond what was expected of them. Staff treated people with great dignity and respect. They treated people as equals and involved them as fully as possible in their care.
People’s communication needs were known and understood by staff. People received opportunities to participate in a variety of social activities, interests and hobbies. There was a positive approach to risk taking and staff strived to engage people in new activities and opportunities.
Staff were positive about their role and shared the registered manager’s values in providing person centred, open and inclusive care. Staff were clear about their role and responsibilities. Accountability and oversight structures and good governance systems were in place. These continually monitored the quality and safety of the service.
People, relatives and staff received opportunities to give feedback and this was used to develop the service. The provider and registered manager had met their registration regulatory requirements.
Rating at last inspection
The last rating for this service was good (published 1July 2017). Since this rating was awarded, the registered provider of the service has changed its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
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 inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk