Ocean Hill Lodge Residential Care Home

Updated 29 April 2021

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 safety and leadership of the service and provided a rating under the Care Act 2014.

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

The inspection was completed by one inspector.

Service and service type

Ocean Hill Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was done to ensure the inspection could be completed safely during the covid-19 pandemic.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke briefly with three people who used the service and had more extended conversations with three staff and the service’s registered manager.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were requested.

After the inspection

We spoke with four people’s relatives and received feedback on the services performance from two health and social care professionals. We reviewed the documents requested during the site visit and completed an analysis of the services rotas.

Updated 29 April 2021

About the service

Ocean Hill Lodge is a residential care home providing personal care to 15 people aged 65 and over at the time of the inspection. The service can support up to 18 people. The service is based in a detached two-story property with a front patio garden that people can access.

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

Staff and the registered manager had a good understanding of local safeguarding procedures. Appropriate guidance and advice had been sought from professionals in relation to a specific concern and appropriate measures taken to ensure people’s safety.

Staff had been provided with guidance on the management of risks within the service and understood how to meet people’s pressure area care needs. Accidents had been investigated to identify areas of improvement or learning and to prevent similar incidents from reoccurring.

The service’s recruitment practices were safe and there were sufficient numbers of staff available to meet people’s care needs. People told us, “If you need them, they come quickly, they are very quick” and a relative said, “The carers, they are amazing”.

Staff were using PPE correctly and following current infection prevention and control guidance to help keep people safe. All staff had been provided with additional training in relation to the Covid-19 pandemic and arrangements made to enable relatives to safely visit.

The registered manager provided effective leadership. Staff told us they had been well supported and reported the registered manager had made significant improvements within the service.

The service’s quality assurance systems were effective and action had been taken to address and resolve the breach of the regulations identified at our last inspection.

Feedback from people and their relatives about the service’s performance was valued by the registered manger and any issues raised had been investigated and resolved. The duty of candour was understood by the registered manager and relatives told us the service communicated with them effectively.

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 Requires Improvement (published 17 July 2019) and there was a breach of the regulations.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 02 July 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to help ensure service users were protected from the risk of abuse and improper treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements.

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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ocean Hill Lodge Residential Care Home on our website at www.cqc.org.uk.