CQC report explained · a residential care home
What the CQC found at Oakleigh
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe and there were enough staff. Inspectors found that risks, medicines, recruitment, equipment and safeguarding arrangements were managed well.
- Effective?
- Good
- Staff received training, supervision and appraisals, and people were supported with their health and nutrition. Inspectors found that people's rights were protected where restrictions were necessary.
- Caring?
- Good
- Inspectors saw kind and friendly interactions. People were supported to make choices, maintain privacy and dignity, and develop their independence.
- Responsive?
- Good
- Care plans described people's preferences, needs and goals. People were offered a wide range of activities and were supported to keep in touch with family and friends.
- Well-led?
- Good
- The registered manager and senior staff were described as open and approachable. Regular meetings, audits and provider visits were used to monitor the home and support improvements.
What inspectors found, January 2018
Oakleigh was rated Good; inspectors found safe, kind and personalised care, with previous safeguarding recommendations completed.
This was a comprehensive inspection on 12 and 13 December 2017. The first day was unannounced. Inspectors spoke with all nine people living at the home, relatives, staff and health professionals. They also observed care and checked care records, medicines, staff files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, had enough staff and were treated with kindness and respect. Inspectors found that medicines, staffing, risk management and the environment were handled well.
The inspection also checked recommendations made after a safeguarding referral at the previous inspection in July 2016. Staff had completed training about professional boundaries, and the home had put the recommendations into place. The overall rating therefore remained Good.
People felt safe
People and relatives told inspectors they felt safe. Staff knew how to raise safeguarding concerns, and the home had enough staff to meet people's support needs.
“They said there were enough staff to care for them and keep them safe.” from the report
Kind and respectful care
Inspectors saw caring relationships and respectful support. People's privacy was protected and staff supported them to make choices.
“During the inspection we observed staff had a kind, considerate and caring manner with people” from the report
Personalised support
Care plans covered people's likes, dislikes, needs and goals. People were supported to be independent and take part in activities that mattered to them.
“Care plans were personalised and gave information about people's likes and dislikes as well as their care and support needs.” from the report
Previous recommendations completed
The home had acted on recommendations following the previous safeguarding referral. Staff had completed professional-boundaries training and discussed this in meetings and supervision.
“We found they had and the rating for this home remains good.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and review my relative's risks, including any risks linked to anxiety, behaviour or changes to their routine?
- 02What training and supervision will staff caring for my relative receive, and how will you make sure their skills stay up to date?
- 03How will my relative be involved in writing and reviewing their care plan and making everyday choices?
- 04If my relative needs restrictions or staff support at all times, how will you make sure their rights and best interests are protected?
- 05What activities, work opportunities or support to keep in touch with family could be available for my relative?
This was a comprehensive inspection covering all five areas and checking whether recommendations from the July 2016 inspection had been put into place. This explanation was written from the published report of 20 January 2018 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, September 2016
Oakleigh was rated Good; inspectors found safe, kind and personalised care that supported people's independence.
This was an unannounced inspection on 22 July 2016. One inspector visited, observed care, spoke with people, relatives, staff and managers, and checked care records, staff files, medicine records and quality checks.
The inspectors found a calm and caring home. People were supported to make choices, develop daily living skills, take part in activities, work, go into the community and keep in touch with relatives. Staff understood people's needs and there were enough staff to provide support.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The report also noted that a safeguarding concern raised before the inspection was still being investigated, but found that safeguarding procedures and responses were in place.
Personalised support
Care and support were shaped around people's needs, wishes and abilities. Staff knew people's preferences and helped them work towards personal goals.
“People experienced care and support that suited their individual needs and which helped them to live safe, fulfilled and meaningful lives, in the way they wanted to.” from the report
Independence
People were encouraged to do things for themselves, including cooking, shopping, gardening, household tasks and going out.
“This helped to develop and maintain their independence and improve their life skills.” from the report
Activities and community life
People had many opportunities for hobbies, employment, holidays and trips into the local community. Activities were linked to individual interests.
“People were encouraged to take part in activities that interested them, and supported by staff to achieve individual goals.” from the report
Kind and respectful care
Inspectors saw relaxed relationships between people and staff. Staff respected privacy, dignity and people's personal choices.
“People received person-centred care from staff who treated people with dignity, respect and kindness.” from the report
Safety systems
The home had systems for safeguarding, recruitment, risk management, medicines and learning from accidents and incidents.
“There were safe systems in place for the management and administration of people's medicines.” from the report
Open management
People, relatives and staff were encouraged to share views. Managers used audits, meetings and feedback to monitor the service.
“There were effective systems in place to monitor the quality of the service provided.” from the report
Inspectors raised no specific concerns in this report.
- 01What was the outcome of the safeguarding concern that was being investigated before the inspection, and what changes were made as a result?
- 02How would you support my relative to build independence in cooking, shopping, personal care or other daily activities?
- 03What activities, work opportunities and community outings would be available for my relative, and how would these be matched to their interests?
- 04How would you manage any medicines prescribed only when needed, and how would you involve my relative in decisions about them?
- 05How would you keep my relative's care plan updated if their needs, health or goals changed?
This was an unannounced inspection of the overall service and all five rating areas, including observations, discussions and checks of care, staffing, medicines and management records. This explanation was written from the published report of 21 September 2016 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 Oakleigh
2 rated inspections over a year: the service has held its Good rating throughout.
- January 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 7 April 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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17 live-in carers within about an hour of Devon
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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.
“She is such a warm and gentle person while being professional and competent at the same time.”
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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.