Background to this inspection
Updated
14 September 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 23 August 2018 and was unannounced.
The inspection was carried out by one inspector.
Prior to the inspection we reviewed the information we held about the service, for example information share with us from members of the public and the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection we were unable to speak with people and therefore carried out a Short Observational Framework for Inspection. We spoke with two staff members and the registered manager. We reviewed three care plans, three staff files, the maintenance file, three medicine administration records (MARs) and other records relating to the management of the service.
After the inspection we contacted three relatives and two healthcare professionals to gather their views of the service.
Updated
14 September 2018
This comprehensive inspection took place on 23 August 2018 and was unannounced.
Oakdale Road was previously inspected on 19 January 2016 and was rated ‘Good’, at this inspection we found the service remained ‘Good’.
Oakdale Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Oakdale accommodates nine people in one large adapted residential building in the London borough of Lambeth. At the time of the inspection seven people were using the service.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People continued to be protected against the risk of harm and abuse as staff were aware of the provider’s safeguarding procedure, they knew how to identify, respond and escalate suspected abuse. Risk management plans in place gave staff guidance on how to keep people safe when faced with identified risks. Incidents and accidents were monitored to minimise the risk of repeat incidents and lessons learned were shared with supporting staff.
Systems and processes in place ensured people received their medicines as intended by the prescribing pharmacist. People received support from adequate numbers of suitable staff to keep them safe. People continued to be protected against the risk of cross contamination as staff were aware of the provider’s infection control policy and received on-going training.
People received care and support from staff that underwent training to effectively meet their needs. Staff reflected on their working practices through comprehensive supervisions and annual appraisals.
People were supported to access sufficient amounts of food and drink that met their dietary needs and requirements. People continued to be supported to access healthcare professional services to maintain their health and wellbeing. People’s dependency levels were monitored to ensure support provided enhanced their skills and independence.
The service was aware of their responsibilities in relation to the Mental Capacity Act 2005 (MCA). People's consent to care and treatment was sought prior to being delivered. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People’s care plans continued to give staff clear guidance on responding to people’s needs, in a person-centred way. People were encouraged to participate in activities that met their social needs and wishes. The provider’s complaints policy was available to people and the registered manager was aware of the importance of ensuring complaints were dealt with in a timely manner to reach a positive resolution.
People’s relatives and healthcare professionals spoke positively about the registered manager. The registered manager had clear oversight of the service through regular audits. Issues identified in the audits was acted on in a timely manner. People’s views of the service were sought to drive improvements.
The registered manager sought and embraced partnership working with other healthcare professionals and relatives. The registered manager understood and met their regulatory responsibilities.