Archived: Oaklands Nursing and Residential Home

Updated 28 December 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 comprehensive inspection took place on 10 and 11 December 2018; the first day was unannounced. The inspection was carried out by an adult social care inspector and an expert by experience on the first day, and by one adult social care inspector on the second day. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team also included a dental inspector who looked in detail at how well the service supported people with their oral health. This includes support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in 2019.

In preparation for our visit, we checked the information we held about the service and the provider and included this in our inspection plan. We considered the previous inspection report and obtained the views of the local commissioning teams. We reviewed information from statutory notifications sent to us by the service about incidents and events that had occurred at the home. A notification is information about important events, which the service is required to send us by law.

The provider sent us a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give us some key information about the service, such as what the service does well and improvements they plan to make.

During our inspection visit, we spent time observing how staff provided support for people to help us better understand their experiences of the care they received. We spoke with eight people living in the home, six visitors, five care staff, the pharmacy technician and both registered managers. We also spoke with a professional visitor and a healthcare practitioner.

We had a tour of the premises and looked at a range of documents and written records including four people's care plans and other associated documentation, two staff recruitment and induction records, staff rotas, training and supervision records, minutes from meetings, customer survey outcomes, complaints and compliments records, medication records, maintenance certificates, policies and procedures and records relating to the auditing and monitoring of service.

Updated 28 December 2018

We carried out an inspection of Oaklands Nursing and Residential Home on 10 and 11 December 2018. The first day was unannounced.

Oaklands Nursing and Residential Home provides accommodation for 44 people who need either nursing or personal care. At the time of the inspection, there were 41 people accommodated in the home.

The service is situated in a quiet residential area in Harle Syke, Briercliffe on the outskirts of Burnley. There are two floors that can be accessed by a passenger lift or stair lift. All rooms are single occupancy and some of these offer ensuite facilities. There are attractive garden areas and adequate parking for visitors.

At our last inspection of June 2016, the service was rated Good. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The management team were committed to the continuous improvement of the service and were dedicated to making people feel valued and improving people’s care and self-esteem. Evidence showed they followed best practice and pursued opportunities to influence care in order to attain better outcomes for people living at the home. Quality assurance systems were robust and used to make improvements in the home. People had a wide range of opportunities to provide feedback on the care provided. Feedback from people and their relatives was extremely positive.

People were supported by staff who were extremely kind, enthusiastic and caring. We observed all staff interacting with people and their relatives in a meaningful and caring way which made people feel they mattered to the staff who supported them. Staff enjoyed working at Oaklands Nursing and Residential Home. We observed a strong, family-orientated service where staff were encouraged to demonstrate highly respectful and caring attitudes towards the people they supported.

People were more than happy with the care and support they received. Without exception, they told us they were treated with care and kindness and were treated equally and fairly. People received care which recognised their individual differences and respected their right to be treated with dignity and respect. The service provided outstanding end of life care to ensure people's end of life was as comfortable, dignified and pain free as possible.

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. Staff fully understood the importance of acknowledging people’s diversity, treating people equally and ensure that they promoted people’s rights. We saw people’s cultural and spiritual needs were discussed and recorded in their care plans.

People were engaged in varied and meaningful activities which met their individual interests; to support this the home had developed links with organisations in the local community to help enhance people’s quality of life.

Care plans and risk assessments were person centred and provided guidance for staff on how to provide safe and effective care. There were established arrangements in place to ensure all care plans were reviewed and updated as people’s needs changed. Where necessary, staff made referrals to external professionals to ensure people’s health needs were met.

People told us they felt safe. Staff had received training in the protection of vulnerable adults and knew what action they should take if they suspected or witnessed abuse. Lessons were learned from any accidents, incidents or safeguarding matters.

People received their medicines when they needed them from staff who had been trained and had their competency checked. People were cared for in a safe, comfortable and clean environment. People told us they enjoyed the food provided.

Staff had been safely recruited and received the induction, training and support necessary to enable them to deliver effective care. There were sufficient numbers of staff on duty to meet people’s needs in a flexible way which met their preferences and promoted their independence. We noted the number of care hours provided, regularly exceeded the assessed number of hours as indicated by the provider’s staff assessment tool based on people’s dependencies

Further information is in the detailed findings below.