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CQC report explained · a nursing home

What the CQC found at The Oakleaf Care Group (Hartwell) Limited

Outstandingpublished 30 June 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People had detailed risk assessments and behaviour support plans. Inspectors found enough staff, safe recruitment, appropriate medicines arrangements and effective systems for learning from accidents and incidents.
Effective?
Good
Staff had relevant training and support. People received coordinated healthcare, nutritional support and access to a range of health and social care professionals.
Caring?
Good
People were treated with kindness and respect. Staff listened to people's choices, protected their privacy and supported independence and family relationships.
Responsive?
Outstanding
Support was highly personalised to people's needs, preferences and goals. Inspectors saw innovative approaches that helped people communicate, take part in activities and make progress with rehabilitation.
Well-led?
Outstanding
Leaders placed people at the centre of the service and involved people, relatives and staff in decisions. Quality checks were effective and shortfalls were addressed promptly.
The latest report, explained

What inspectors found, June 2018

Rated Outstanding; inspectors found highly personalised rehabilitation and strong leadership, with Safe, Effective and Caring rated Good.

Inspectors visited on 3 and 4 May 2018. The first day was unannounced and the second day was announced. They spoke with people, relatives, staff and visiting professionals. They also reviewed care records, recruitment checks, training, complaints and quality audits.

The home supported up to 16 people with acquired brain injuries, neurological conditions, early onset dementia and complex physical or cognitive needs. There were 11 people living there during the inspection.

Inspectors found people were safe, received their medicines as prescribed, had enough staff and were supported by trained staff. Care was kind and respectful. Support was especially personalised and responsive, with examples of people making progress towards goals that had previously seemed difficult.

The home was rated Outstanding overall. Responsive and Well-led were Outstanding. Safe, Effective and Caring remained Good. The previous overall rating was Good at the inspection in March 2016.

What inspectors praised
  • Personalised support

    Staff tailored care around each person's needs, preferences, communication style and goals. Inspectors found that this helped people gain confidence and achieve meaningful progress.

    “Staff continuously went beyond expectations to ensure that people received truly individualised care that was flexible and responsive to their needs.” from the report
  • Rehabilitation outcomes

    The home used consistent, creative approaches to help people overcome anxiety and take part in activities or family life. Inspectors described outcomes for people as highly positive.

    “The innovative nature and willingness to provide a service that was centred on meeting people's diverse needs in a truly person centred way had resulted in hugely positive outcomes for people.” from the report
  • Safety and staffing

    People had detailed risk plans, enough staff and suitable recruitment checks. Medicines were given as prescribed and incidents were reviewed for learning.

    “There were enough staff to provide people with the support they required.” from the report
  • Strong leadership

    People, relatives and staff were involved in the running of the home. Leaders monitored quality closely and acted when audits identified a shortfall.

    “Successful governance systems were in place to promote an inspiring service that provided high quality individual care and support for people.” from the report
  • Family involvement

    Relatives were welcomed and could receive support from a dedicated family liaison team. People were also helped to maintain links with family and friends.

    “A dedicated family liaison team was available to provide support on an individual basis to relatives.” 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 would you assess my relative's brain injury, neurological, physical and behavioural support needs before admission?
  2. 02How many staff would support my relative during ordinary routines and community activities, and how would you ensure they know the person well?
  3. 03How would you use risk and behaviour support plans to promote my relative's independence while keeping them safe?
  4. 04What rehabilitation goals would you agree with my relative and family, and how would you measure progress?
  5. 05If monitoring technology such as cameras or door alerts were considered, how would you involve my relative and family in the decision and review it?

This was a comprehensive inspection covering all five CQC questions, with Safe, Effective and Caring remaining Good and Responsive and Well-led rated Outstanding. This explanation was written from the published report of 30 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.

The story over the years

Every inspection of The Oakleaf Care Group (Hartwell) Limited

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

  1. June 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at The Oakleaf Care Group (Hartwell) Limited →

  2. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    We are reading this report · the original is on cqc.org.uk

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 26 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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