CQC report explained · a residential care home
What the CQC found at Oakleigh Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm, medicines were managed safely and there were enough staff. Some behaviour plans lacked detail, which could have led to staff responding inconsistently.
- Effective?
- Good
- People's needs were assessed before they moved in, and staff received induction and specialist training. Some training was not refreshed on time, and two care plans had not been updated after healthcare advice.
- Caring?
- Good
- People and relatives described staff as kind, caring and respectful. Inspectors saw people being supported with dignity, privacy, choice and independence.
- Responsive?
- Good
- People were supported to follow individual interests, maintain relationships and communicate in ways they could understand. Records did not always explain how staff would help people achieve their personal goals.
- Well-led?
- Good
- People, relatives and staff spoke positively about the management. The manager carried out checks and acted openly, but one safeguarding referral was not reported to CQC as required.
What inspectors found, August 2019
Oakleigh Lodge was rated Good; inspectors found kind, safe care, with some records and staff training needing improvement.
This was an unannounced planned inspection on 26 June 2019. Inspectors spoke with seven people, three relatives, staff, managers and a healthcare professional. They reviewed care, medicine, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said staff were kind, respectful and kept people safe. Inspectors found enough staff, safe medicine systems, good infection control and support that was tailored to people's needs.
There were some shortfalls. Behaviour plans did not always give enough detail, staff training was not always refreshed on time, and care records did not always show how health advice or personal goals were being followed. The home was also larger than recommended by best practice guidance, although inspectors said the care met people's current needs.
Kind and respectful staff
People and relatives said staff were caring and treated people with dignity. Inspectors also observed reassuring and considerate interactions.
“People and relatives told us staff treated them in a kind and caring way.” from the report
Safe medicines and staffing
Medicines were stored, recorded and given safely. Recruitment checks were completed before staff started, and inspectors found enough staff with the right expertise.
“People received their medicines as prescribed. Medicines were stored, recorded and administered safely.” from the report
Choice and independence
People were supported to make daily decisions, pursue their own interests and take part in running the home. Staff supported independence where possible.
“Staff encouraged people to make day to day decisions about their care.” from the report
Activities and relationships
People were supported to enjoy hobbies, community activities and family relationships. Activities included music, crafts, theatre visits, church groups and social events.
“People were encouraged to maintain relationships with people who were important to them.” from the report
Clean environment
Inspectors found the home clean, tidy and well maintained, with strong infection control practices.
“In a recent external infection control audit, the home achieved a rating of 98% compliance.” from the report
Behaviour plans lacked detail
seriousSome plans did not explain clearly enough how staff should respond when people became distressed or might harm themselves or others. This could lead to inconsistent support.
“Behaviour management plans informed staff about where people were at risk but lacked detail which meant staff may not have always responded to people in a consistent way.” from the report
Training was not always refreshed
needs fixingStaff had received appropriate training, but some refresher training was overdue against the provider's own timescales. A plan was put in place after the inspection.
“Records showed whilst staff had received appropriate training, it had not always been refreshed in line with the provider's expected timeframes.” from the report
Care records did not always reflect advice
needs fixingTwo care plans had not been updated after healthcare professionals gave advice. The manager said the advice had been followed or declined, but this was not recorded.
“However, we found two occasions where care plan's had not been updated following advice from a healthcare professional.” from the report
Personal goals were not clearly supported
needs fixingPeople had goals, but records did not always explain what staff should do to help them achieve those goals.
“It was not always clear how staff encouraged people to achieve goals meaningful to them.” from the report
One safeguarding referral was not reported
seriousThe manager referred a safeguarding concern to the local authority but did not notify CQC. Inspectors reminded the manager of this responsibility.
“We identified one occasion when the registered manager had raised a safeguarding concern with the local authority but failed to notify us.” from the report
The building was larger than best practice guidance
minorThe service was not designed in line with guidance recommending smaller-scale settings and a different location. Inspectors said the care was meeting people's current needs.
“The service had not been designed in line with Registering Right Support and other best practice guidance.” from the report
- 01Have all staff now completed the refresher training that was overdue at the inspection?
- 02How are behaviour support plans now written and reviewed so staff respond consistently when someone becomes distressed?
- 03How do you record healthcare advice and show whether it has been followed or declined?
- 04How are each person's personal goals recorded, and what specific support will staff provide to help achieve them?
- 05How can residents choose their meal times and daily activities, and how are these choices recorded?
This was an unannounced planned inspection covering all five CQC areas, and both the care provided and the care home premises were looked at. This explanation was written from the published report of 6 August 2019 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 Lodge
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- August 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2014Inspected but not rated
- September 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 11 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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