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CQC report explained · a residential care home

What the CQC found at The Oaklands

Outstandingpublished 27 March 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing infections, using PPE safely, accessing testing, managing visitors and supporting social distancing. They were also assured that the infection prevention and control policy was up to date.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Outstanding
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Outstanding
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors found good infection control arrangements during the Covid-19 pandemic.

This was an unannounced, targeted inspection on 9 December 2020. It checked infection prevention and control because of coronavirus outbreaks in care homes.

Inspectors were assured that the home was managing visitors, testing, protective equipment, social distancing, cleaning and infection outbreaks safely. All 18 people using the service had been supported to have Covid-19 tests, and staff were tested regularly.

The home had individual plans to help people keep in contact with relatives. Respite stays had been stopped temporarily during the pandemic. The service was inspected but not rated, so this report does not give a full rating of the quality of care.

What inspectors praised
  • Testing

    The home supported everyone using the service to have a Covid-19 test and tested staff regularly.

    “The service had successfully found ways to safely support all 18 people to be tested for Covid-19. All staff were regularly tested.” from the report
  • Controlled visiting

    Essential visitors had checks on arrival, hand sanitiser and PPE requirements.

    “Visiting arrangements were controlled and regularly reviewed. The service had a system in place for essential visitors” from the report
  • Family contact

    People had individual plans intended to maintain safe social contact with their relatives.

    “People had individual visitor/family contact plans as part of their care plan to make sure their social contact needs continued to be met as far as safely possible.” from the report
  • Use of PPE

    Staff used PPE in line with guidance, with a separate area for putting it on and removing it. Used PPE was disposed of safely.

    “Staff wore the necessary PPE, in line with best practice guidance, and had a designated area for putting it on and taking it off.” from the report
  • Information for people

    The home displayed information about handwashing, social distancing and PPE.

    “Detailed information was displayed around the home to remind people how to wash their hands effectively, the importance of social distancing, and why people wear PPE.” 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. 01How have your visiting arrangements changed since this inspection?
  2. 02How do you currently test people using the service and staff for Covid-19 or other infections?
  3. 03How do you keep people who test positive apart from those who test negative?
  4. 04How do you make sure each person's contact plan continues to meet their family and social needs?
  5. 05Has the respite service resumed, and if not, what arrangements are available instead?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 24 December 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.

An earlier report, explained

What inspectors found, March 2018

Rated Outstanding; inspectors found exceptionally caring, well-led support, with the other areas rated Good.

This was an announced, comprehensive inspection on 7 December 2017. Inspectors spoke with people living at the home, staff, managers and a healthcare professional. They reviewed care records, staff recruitment files, training, rotas, complaints and quality checks.

The home supported up to 20 people with mental health needs, learning disabilities or autism. Inspectors found safe medicines management, enough skilled staff, good training, suitable care planning and effective health support. People were treated with dignity, involved in decisions and supported to be independent.

The caring and well-led areas were rated Outstanding. Safe, effective and responsive care were rated Good. This means the overall service was judged exceptionally good, although inspectors still identified a small area where management knowledge could improve.

What inspectors praised
  • Kind and respectful care

    Inspectors found strong relationships between people and staff. People were treated with dignity and staff were described as kind, caring and compassionate.

    “People had excellent, meaningful relationships with the staff.” from the report
  • Choice and independence

    People were involved in decisions about their support and encouraged to do more for themselves. Staff used practical and creative ways to support independence.

    “Independence was widely encouraged and innovative methods were used to communicate with people as well as to support people with remaining independent.” from the report
  • Safe medicines practice

    The home had improved its medicines systems since the previous inspection. Records, storage, 'as needed' medicines and staff competency checks were found to be safe.

    “People's medicines were managed appropriately and safely.” from the report
  • Meaningful lives

    People were supported to pursue personal goals, take part in activities and stay connected with family, friends and the wider community.

    “There was a clear emphasis on ensuring all people led active and meaningful lives” from the report
  • Strong leadership

    Inspectors found committed managers and staff, with people involved in meetings, recruitment and decisions about improving the service.

    “The service was very well-led.” from the report
What inspectors were concerned about
  • Accessible information knowledge

    minor

    The manager was not yet fully aware of the Accessible Information Standard. Inspectors said its principles were already being used, including easy-read information and picture-based communication.

    “The registered manager was not currently fully aware of the Accessible Information Standard (AIS); however they were already implementing its principles throughout the service.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure information about my relative's care is provided in a format they can understand?
  2. 02How will you support my relative to make choices and remain as independent as possible?
  3. 03How are 'as needed' medicines managed, and how will you record whether they were given or refused?
  4. 04If my relative uses respite care, how will you provide continuity and limit the effect of unfamiliar people?
  5. 05How will my relative be involved in reviewing their support plan and setting personal goals?

This was an announced comprehensive inspection covering all five CQC questions and both the accommodation and care provided. This explanation was written from the published report of 27 March 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. The report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of The Oaklands

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Oaklands →

  2. March 2018Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at The Oaklands →

  3. February 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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.

Next steps

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