Oaks Care Holdings LTD

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this newly registered service. This key question has been rated Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. Staff worked with external professionals to help provide the most appropriate care to people, following advice and guidance when needed. Staff obtained people’s consent as well as following the principles of the Mental Capacity Act 2005 when required.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People were assessed prior to their care package commencing. This was to help ensure that staff could meet people’s needs. The registered manager carried out the assessment and worked with family members to build up a good picture of the person. They then used this information to develop the person’s care plan. They told us, “I put together the care plan and run it past the person and their family before signing it off, then I give them the contract.”

Nationally recognised systems were used to monitor people’s health when needed. The registered manager told us, “Where there is a need for Malnutrition Universal Screening Tool (MUST) I would use it. We will also take skin intact measurements should someone have a pressure score, using a Waterlow (skin integrity) measurement.”

Staff worked well across teams to support people. This included working with people’s GPs, tissue viability nurse and other health professionals. A relative told us, “They (staff) will let me know if his skin breaks open so I can contact the district nurse.” The registered manager arranged for external assessments of people to help ensure they were providing the best and safest care. They told us, “We have links with different teams. I contact the GP when needed and I asked occupational health if they could do a bed rail assessment on one person. We do our own (risk assessment), but I wanted them to be properly re-assessed (to check bed rails were appropriate).”

Staff supported people to live healthier lives and where possible, reduce their likelihood of being admitted to hospital. The registered manager told us, “Occasionally we will support people with the preparation of their food. [Person’s name] likes their food soft.” They added, “[Person’s name] has a micro-environment in their house and we arranged a grab rail for them to help them get in and out of bed.”

Staff routinely monitored people’s care and treatment to help improve it. This included where one person who was at risk of their skin breaking down. The registered manager told us, “Previously the tissue viability nurse was involved, but they were happy with what the staff were doing. [Person’s name] is now able to sit out of bed without being in pain.” Due to staff input the person’s sore had stabilised and required cream only.

Staff understood the principles of the Mental Capacity Act 2005 and told us they would always ask for a person’s consent prior to providing care. A staff member said, “I always greet him and chat to him for a while to begin with until he starts to remember me again and then I explain what I am doing.” The registered manager was able to show us where they had completed mental capacity assessments and how they had involved the family or social services in any decision making. The registered manager also held copies of family member’s legal authority to make decisions on behalf of their relative.