Oakside

Updated 20 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Oakside is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Oakside is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there were 3 registered managers in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 14 June 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spent time with 3 people; getting their feedback and observing the quality of care and support they received. This helped us to understand the experiences of people who we were unable to communicate with effectively. We received feedback from 9 members of staff including 2 of the registered managers, the deputy manager and 6 care workers. We reviewed a range of records. This included support planning documentation, including medicines records, for 4 people. We looked at 5 staff files in relation to recruitment and supervision records. We also reviewed a variety of records relating to the management of the service, including risk assessments, quality assurance records, training data and policies and procedures. We received feedback from 5 relatives and 2 professionals.

Updated 20 January 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Oakside is a residential care home providing personal care to 4 people at the time of the inspection. The service can support up to 5 people.

People’s experience of using this service and what we found

Right Support: Care and support plans were holistic and reflected people's individualised preferences and support needs. People, those important to them and staff developed individualised care and support plans. Care plans were personalised, holistic, strengths based and updated regularly. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We observed people making real choices in the structure of their day and the activities they took part in. People were consistently in control of how they spent their time; what they wanted to do and when.

People had control of their dignity and how personal care was provided. The service consistently met the needs of the people based on their wishes, enhancing their quality of life and well-being. Staff were exceptionally responsive and had excellent knowledge of people. The service had a strong emphasis on ensuring people felt empowered and valued. The service ensured people were provided with activities that were relevant and meaningful to them and involved people's loved ones.

Right Care: The home was purpose built to support people with complex needs and had been designed to optimise accessibility for people. Staff were extremely passionate about providing care that was compassionate and provided the best outcomes for people. Staff looked at ways to enrich people's lives. People were treated with kindness and people were observed to be exceptionally well cared for. The service promoted equality for people. The provider was passionate about supporting people to access services and activities. They supported people to overcome barriers and thought outside the box to achieve this. The registered managers and staff team had a strong approach to providing individualised care, that promoted people's dignity. We saw staff treating people with respect.

Right Culture: The registered managers were passionate about supporting people to be able to access, experience and participate in activities inclusively. They promoted positive risk taking and innovative approaches to support people to achieve this and to provide people with meaningful outcomes. The registered managers were passionate about ensuring staff were suitably skilled and trained to meet people’s complex and diverse needs. We observed staff were very respectful and mindful about being in people’s home.

The ethos of the provider was that staff were guests in people’s home and this was reflected in how staff supported people. People were fully involved and in control about what happened in their home. There was clear leadership and visions and values for the service, that ensured people were at the heart of everything they did. The registered managers led by example and people, their relatives and staff were consistently positive about the quality of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 9 October 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.