- Care home
Archived: Oaklands Care Home
Report from 7 March 2024 assessment
Contents
Ratings
Our view of the service
Oaklands Care Home is a residential care home providing accommodation with personal care for up to 15 people. The service provides care to older people and was purchased by Primos Care Limited on 25 October 2023. We carried out our on-site assessment on 26 February 2024 and 4 March 2024. Off site assessment activity started on 19 February 2024 and ended on 23 March 2024. At the time of our inspection 13 people were being supported with personal care at the service. We assessed a variety of quality statements including safeguarding, involving people to manage risks, effective staffing, safe environments, infection prevention control, medicines optimisation and governance and management. Due to concerns identified during the assessment process, we widened the scope of the assessment to review further quality statements including assessing needs, consent to care and treatment, independent choice and control, responding to people needs, person centred care, listening to and involving people, equity in experiences. We have identified breaches of the regulations relating to person centred care, consent, safe care and treatment, the environment, and governance. We also found the provider had not made statutory notifications to CQC as required by law. We have told the provider they need to make improvements.
People's experience of this service
People told us they felt safe living at the service. However, they were not supported to be as independent as possible or be involved in agreeing to their care and support arrangements. People’s consent was not always sought, and they were not always listened to. Care was not always person centred in order to meet their needs. People were not able to access parts of the environment due to ongoing refurbishment work. People did not have a range of social and leisure activities to meet their needs, choices and preferences. There were enough staff to support them, and staff were kind and caring. People enjoyed the food and told us they had a choice of meals. People told us they were visited by health professionals as required. Risks to people's safety were not assessed and managed. People did not have detailed, personalised care plans and risk assessments in place. Environmental risks were not managed or monitored. The building was in the process of being renovated, but the action for the building works to take place was not planned appropriately. The provider's infection prevention control processes were not robust. People's medicines were not safely managed. Recruitment checks had not always been completed accurately. The provider's safeguarding processes were not effective. Admission processes were not in place to assess people for moving to the service. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. The provider's processes for monitoring the safety and quality of the service were not effective and had failed to identify the significant concerns found during the inspection. The culture of the service did not empower people to achieve good outcomes. The provider was not able to demonstrate continuous learning to drive improvements in the service.