Background to this inspection
Updated
10 February 2024
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.
Inspection team
The 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
Oakview Residential Care Home 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. Oakview Residential Care Home is a care home without 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 was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included any information of concern and notifications the service is required to submit regarding any significant events happening at the service. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 all this information to plan the inspection.
During the inspection
We reviewed staffing levels and walked around the building to ensure it was clean and a safe place for people to live. We observed how staff supported people and provided care.
We spoke with 4 people who use the service, 3 family members and 6 members of staff, including the registered manager, assistant manager, and care workers.
We reviewed a range of records including full care plans for 3 people and additional care records in relation to the management of other specific needs. We looked at 2 staff files in relation to recruitment, training and support. A variety of records relating to the management of the service, including policies and procedures were examined.
Updated
10 February 2024
About the service
Oakview Residential Care Home is a residential care home in the Gatley area of Stockport and can accommodate 12 people. The service has a communal lounge and dining room and a secure outside garden. There are 10 bedrooms, of which 2 can accommodate 2 people. The service provides support to older adults and adults living with dementia and/or other complex needs. At the time of our inspection there were 7 people using the service.
People’s experience of using this service and what we found
People felt safe and systems to assess, monitor and manage risk were in place and being used. There were plans for redecorating areas of the home and people were involved in determining what improvements and changes were made. Staff were suitably recruited and there were enough staff to meet people’s needs quickly. Medicines were being safely stored and people were receiving their medicines as prescribed.
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. However, effective records in this area were not always being maintained and we have made a recommendation about this.
People’s needs were assessed and reviewed, with care plans in place to guide staff on how to support people. Staff felt well supported and completed a wide variety of training. Staff worked closely with other health care services to ensure people’s needs were met and appropriate referrals to external services were made.
People told us staff were very kind and caring. We observed staff knew people well and there were positive relationships. People were encouraged to remain independent. and staff respected people’s privacy and decisions. People and their relatives felt involved in decision making.
People felt they had choice and control over their care and that care provided was personalised to their needs. People’s communication needs were assessed, and measures implemented to ensure people could access the information they needed. Staff supported people to engage in activities within the service and took people out into the local community. People and families felt able to raise concerns and confident these would be addressed. Relatives who had family who had received end of life care at the service spoke highly of the care given.
People and families spoke highly of the management team and staff. There were various ways in which people were supported to feedback about the service and any information was used to improve care. The management team understood the duty of candour and worked closely with other services to ensure people’s needs were met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 22 October 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We have made a recommendation that the provider review their processes to ensure records demonstrate that they are meeting the requirements of the Mental Capacity Act.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.