CQC report explained · a nursing home
What the CQC found at Oaklands Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough trained staff, safe recruitment, effective risk management and safe administration of medicines. The home had also introduced protocols for medicines given when needed.
- Effective?
- Good
- People's needs and choices were assessed, and staff worked with healthcare professionals. Inspectors found support with food, healthcare, training and decision-making under the Mental Capacity Act.
- Caring?
- Good
- People said staff were kind and caring. Inspectors found that privacy, dignity, equality, independence and people's choices were respected.
- Responsive?
- Good
- Care plans reflected people's preferences and communication needs. People were supported with relationships, meaningful activities, complaints and personal goals.
- Well-led?
- Good
- Inspectors found a person-centred culture, clear staff roles and effective quality checks. The provider used feedback and monitoring to identify shortfalls and make improvements.
What inspectors found, February 2020
Oaklands Care Home rated Good; inspectors found safe, kind and personalised care.
This was an unannounced, planned inspection based on the previous Good rating. One inspector visited on 04 February 2020. They spoke with people living in the home, relatives, staff and healthcare professionals, and checked care, medicine and management records.
The home was providing personal and nursing care to 10 younger adults with mental health problems. Inspectors found enough trained staff, safe recruitment, safe medicine management and systems to assess and reduce risks.
People described staff as kind and caring. Inspectors found that people were treated with dignity, involved in decisions and supported to pursue personal goals, relationships, activities and healthcare.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall Good rating means inspectors found the service consistently met the expected standard at this inspection. All five ratings remained Good from the previous inspection, published in August 2017.
Kind and respectful care
People said staff were caring and understanding. Inspectors found that staff protected privacy, dignity and independence.
“The staff are really good at what they do, they are very caring and understanding of people's needs.” from the report
Support for personal goals
Staff supported people to do activities and achieve goals that mattered to them, including travel, concerts and visits.
“Staff went above and beyond to improve the lives of people” from the report
Safe staffing and medicines
There were enough trained staff, recruitment checks were completed and medicines were given as prescribed.
“There were sufficient numbers of trained staff to meet the needs of people and this was confirmed by staff.” from the report
Personalised care
Care planning was done with people and reflected their choices. The home also adapted equipment and information to support independence and communication.
“People have choices in their care. I won't do care plans without sitting with [the person] and saying, "Do you agree with this?” from the report
Effective leadership
The home had quality checks and used feedback to identify errors, omissions and improvements.
“The provider had quality assurance checks and audits in place and these were used effectively to identify shortfalls, errors and omissions.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you support my relative's specific mental health needs and personal goals?
- 02How do you support people to use the skills kitchen and move safely around the three-floor home?
- 03How will you help my relative maintain relationships and take part in activities that are meaningful to them?
- 04How do you review medicines given when needed, and explain when they should be taken?
- 05How would you revisit end of life preferences if my relative later wanted to discuss them?
This was an unannounced comprehensive inspection covering all five key questions; all five ratings remained Good from the previous inspection published in August 2017. This explanation was written from the published report of 22 February 2020 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.
What inspectors found, August 2017
Oaklands Care Home was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
This was an unannounced comprehensive inspection. One inspector visited on 28 May 2017, spoke with people, staff and a relative, and reviewed care records, daily records, policies, audits and training records.
The home supported seven younger adults with mental health problems, some of whom also had learning disabilities. Inspectors found enough staff, safe medicines arrangements, suitable risk assessments and trained staff. People were supported to make choices, maintain their health and take part in activities they enjoyed.
Inspectors found staff to be kind and respectful. Care plans described people's preferences and needs. The home had systems to monitor quality and safety, and staff and relatives gave positive feedback.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection and remained Good.
Enough staff
Inspectors found staffing levels were sufficient for people's care, appointments and activities. People said they felt safe and that enough staff were available.
“There were sufficient staff to meet people's needs.” from the report
Kind and respectful care
Staff were observed to be compassionate and respectful. They supported independence, understood people's preferences and protected privacy.
“We observed that staff demonstrated a kind, caring and compassionate attitude towards people using the service.” from the report
Personalised support
Care plans included people's routines, likes, dislikes, life histories and support needs. People could review their plans and choose activities.
“Care plans were personalised to ensure that staff were aware of people's preferences, life history, likes and dislikes, their daily schedules.” from the report
Good activities and community links
People were supported to take part in activities that matched their interests, including outings, education, exercise and social activities.
“Care plans and records of meetings confirmed that people had been involved in and had access to a wide variety of community activities according to their personal preferences.” from the report
Quality monitoring
The provider and manager carried out regular audits covering areas such as medicines, care plans, training, premises and fire safety.
“To ensure continuous improvement the registered manager and provider conducted regular audits to monitor and check the quality and safety of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's specific mental health or learning disability needs?
- 02How do you make sure staffing levels remain sufficient when people need extra support for appointments or activities?
- 03How often would my relative's care plan and risk assessments be reviewed with them and their family?
- 04Which community activities and education opportunities could my relative take part in?
- 05How would you support my relative to build independence, including managing medicines if appropriate?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 1 August 2017 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.
Every inspection of Oaklands Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 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.
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23 live-in carers within about an hour of North Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,050 to £1,320 a week. 19 can care for a couple. 12 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.