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What the CQC found at Oakland (Rochdale)

Goodpublished 24 November 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People felt safe and inspectors found enough staff to meet people's needs. Safeguarding, risk, accident and incident systems were in place, and medicines were managed safely.
Effective?
Good
Staff had the training and support needed to provide care. People's healthcare, eating and drinking, communication and decision-making needs were supported.
Caring?
Good
People were treated with kindness, dignity and respect. Staff supported people's choices, privacy and independence.
Responsive?
Good
Care plans were personalised and explained people's preferences and needs. Activities were available, but feedback about their consistency was mixed because the home did not have a full-time activities coordinator.
Well-led?
Good
People, relatives and staff spoke positively about how the home was run. Audits, meetings, surveys and an improvement plan were used to monitor and improve the service.
The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found safe, kind and well-managed care, with some inconsistency in activities and recent extra cleaning needed.

Inspectors visited without notice on 18 and 20 October 2023. They spoke with people living at the home, relatives and staff. They also checked care records, risk assessments, medicines records, accident records and the home's quality checks.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe and were positive about the care. Inspectors found enough staff, safe medicines practice, suitable care plans, timely healthcare referrals and kind, respectful support.

There were some areas to keep under review. Feedback about activities was mixed because there was no full-time activities coordinator. Extra deep cleaning was taking place after a local authority audit found that furniture had not always been moved during cleaning. The previous overall rating was also Good, published on 8 November 2018.

What inspectors praised
  • Enough staff

    Inspectors found enough staff were deployed to keep people safe and meet their needs. Recruitment checks were also completed.

    “Enough staff were deployed to keep people safe and meet their needs.” from the report
  • Kind and respectful care

    People described staff as kind and caring. Inspectors observed positive relationships and found that privacy, dignity and independence were respected.

    “People were treated with dignity and respect, by staff who knew people's needs and how best to support them.” from the report
  • Personalised support

    Care plans contained detailed information about people's likes, dislikes, preferences and how they wanted to be supported.

    “Care plans were detailed and explained how people wanted to be cared.” from the report
  • Strong oversight

    The home used regular checks, surveys, meetings and an improvement plan to monitor care and respond to feedback.

    “An overarching improvement plan was used to document any required actions from audits and monitoring.” from the report
What inspectors were concerned about
  • Activities were not always consistent

    needs fixing

    People gave mixed views about activities. The absence of a full-time coordinator had affected whether activities took place consistently.

    “The current absence of a full-time coordinator had impacted upon activity completion.” from the report
  • Extra cleaning was needed

    needs fixing

    A local authority audit had found that furniture was not always moved during cleaning. Additional deep cleaning was being carried out during the inspection.

    “They had completed an audit the day before and noted furniture had not always been pulled out when rooms were cleaned.” from the report
Questions to ask them, based on this report
  1. 01When will the full-time activities coordinator be appointed, and how will activities remain consistent in the meantime?
  2. 02What actions were taken after the local authority infection control audit, and how will the home check that furniture is moved during cleaning?
  3. 03What proportion of staff have now completed all required training, and when will the remaining training be completed?
  4. 04How does the home maintain staffing levels when staff from other homes or agency staff are needed?
  5. 05How are people's views about activities collected and used to improve the weekly programme?

This was an unannounced inspection covering all five ratings, including both the premises and the care provided. This explanation was written from the published report of 24 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong infection control arrangements and visiting protections during the COVID-19 review.

Inspectors visited the home on 11 February 2022. The visit was announced 24 hours beforehand and focused on infection prevention and control, as well as staffing pressures linked to COVID-19.

Inspectors were assured that the home was managing visitors, admissions, personal protective equipment, testing, hygiene, social distancing and infection outbreaks safely. Staff vaccination requirements were also being followed.

The home had updated its infection control competency checks, with records showing 96% compliance. Essential Care Givers could continue to visit, including when someone was very unwell or nearing the end of life.

This was a targeted inspection, so the home was inspected but not rated. The report does not provide a standard overall rating or ratings for most of the five questions.

What inspectors praised
  • Visitor safety

    The home had procedures to control access and reduce the risk of infection for visitors and residents.

    “Robust procedures were in place before any person was allowed access into the care home.” from the report
  • Infection control training

    The home had updated its infection control competency checks, and records showed a high level of recorded compliance.

    “The provider had recently updated its Infection Prevention and Control (IPC) staff competency assessment framework.” from the report
  • Essential Care Giver visits

    Essential Care Givers could continue to visit without restrictions, including when a person was very unwell or nearing the end of life.

    “Those with Essential Care Giver status continued to have unrestricted access into the care home.” from the report
  • Activities during restrictions

    Live online broadcasts allowed people to take part in entertainment and exercise during outbreak restrictions.

    “These events were 'live' and interactive which meant people were able to fully participate.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What measures were put in place to manage COVID-19-related staffing pressures, and did these affect people's care?
  2. 02What action was being taken to reach full compliance with the infection prevention and control competency checks?
  3. 03How are visitors currently checked and supported to prevent infection?
  4. 04How are people supported to keep in touch with Essential Care Givers when infection restrictions are in place?
  5. 05What activities are available now if face-to-face entertainment or exercise sessions cannot take place?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not provide a full set of service ratings. This explanation was written from the published report of 25 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Oakland (Rochdale)

4 rated inspections over 7 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Oakland (Rochdale) →

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Oakland (Rochdale) →

  3. November 2020Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. November 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. September 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. October 2011

    Registered with the Care Quality Commission on 31 October 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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At least 100 live-in carers within about an hour of Rochdale

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Most charge £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.

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