CQC report explained · a nursing home
What the CQC found at Oaklodge Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitable staff, safe medicines practice, appropriate risk assessments and effective infection control. Incidents and accidents were recorded and monitored, although record-keeping concerns were noted under well-led.
- Effective?
- Good
- Practice had improved since the previous inspection. Staff understood mental capacity requirements, supported people with food and drink, accessed healthcare services and received relevant training.
- Caring?
- Good
- Staff were observed treating people kindly and respectfully. They knew people well, protected privacy and dignity, and supported people to express their views and remain independent.
- Responsive?
- Good
- Care plans were detailed and personalised. People were supported with their interests, communication, religious or cultural needs, complaints and end-of-life care.
- Well-led?
- Requires improvement
- Leadership and communication were described positively, with audits and improvement plans in place. However, some care, accident and incident records were not clear or accurate enough.
What inspectors found, June 2018
Rated Good overall, but inspectors found care records were not always clear or accurate and rated well-led Requires Improvement.
Inspectors made an unannounced, comprehensive visit on 26 February 2018. They spoke with people living in the home, relatives and staff. They observed care and checked care records, medicines records, staff files, incident reports and quality checks.
People were found to be safe. There were enough staff, medicines were managed safely, risks were assessed and infection control measures were in place. Staff supported people with food, drink, healthcare, communication and activities.
Inspectors saw kind and respectful care. People and relatives said staff knew them well, listened to them and involved them in decisions. Care was personalised and included support for individual interests and end-of-life wishes.
The overall rating stayed Good, as it had been at the previous inspection. The well-led rating was Requires Improvement because some care, accident and incident records did not give a clear and accurate account of what had happened or what action had been taken.
Kind and respectful care
Staff knew people well and supported their privacy, dignity, communication and independence.
“Throughout the inspection we observed staff interacting with people in a kind and gentle way.” from the report
Personalised support
Care plans included people's backgrounds, interests, preferences and individual support needs. Staff also provided activities and support based on those interests.
“Care plans were detailed and personalised, they gave a clear sense of the individual and included people's interests and the things that were important to them.” from the report
Improved practice
The report says practice had improved in mental capacity assessments and at mealtimes since the previous inspection.
“At this inspection we found that practice had improved.” from the report
Healthcare support
People were supported to access healthcare, and inspectors received positive feedback about staff recognising when people became unwell.
“I trust their judgement, they recognise when people are unwell and always follow my instructions.” from the report
Care records
needs fixingSome records did not clearly and accurately describe care, accidents or incidents. This made it difficult to see whether actions taken had fully reduced further risks.
“Not all records of care were clear and accurate.” from the report
Incident details
needs fixingStaff could explain what had happened and what they had done, but this information was not always written clearly in the records.
“Inconsistencies in recording meant the description of events was not always clear.” from the report
- 01What changes have been made to make care, accident and incident records clear and accurate?
- 02How do you check that records show the decisions made and actions taken after an incident?
- 03What progress has been made since the inspection on the well-led Requires Improvement rating?
- 04How are relatives involved in care planning and decisions about end-of-life care?
- 05How do you make sure staffing levels remain sufficient when regular staff are absent?
This was an unannounced comprehensive inspection covering all five key questions, and the overall Good rating remained unchanged from the previous inspection. This explanation was written from the published report of 7 June 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.
Every inspection of Oaklodge Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 31 December 2010.
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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28 live-in carers within about an hour of West Sussex
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 £1,170 a week. 23 can care for a couple. 11 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.