Focusing on Care Plans and Staff Development Delivers Outstanding CQC Rating for Care Home

The Care Quality Commission (CQC) has found the quality of care provided by The Oaks in Bardney, Lincoln, to be Outstanding following an inspection in September.

The Oaks is registered to provide accommodation and personal care for up to six people who may have learning disabilities or autistic spectrum disorder.

Inspectors found staff were caring and compassionate and people were being provided with safe, responsive, caring, effective and well-led care.

Key Findings

  • Effective systems were in place to ensure the correct staffing ratio and skill mix was maintained at all times.
  • There was a structured induction program to ensure staff developed the skills needed and ongoing training to ensure staffs skills remained up to date.
  • Staff were provided with support from their line manager and external consultants to ensure they were working in line with best practice.
  • Recruitment processes ensured staff were safe to work with people at the home.
  • Staff worked with the Positive Behavioural Support (PBS) team to help people manage their behaviours and reduce the need to restrain people for their own safety. Incidents were reviewed and changes made in care to support positive behaviour in people.
  • People’s abilities to make choices were respected and where needed decisions were made in people’s best interests. Where people had the ability to make an informed choice about risk-taking staff worked with people to support their choices. Other risks to people were identified and appropriate action taken to keep people safe.
  • People were able to make choices about their food and their diet was individualised to meet their needs. Appropriate advice was taken to ensure that people could eat and drink safely.
  • Staff were kind, caring and knew how to personalise care to meet people’s individual needs. They respected people’s privacy and dignity and people’s achievements were celebrated.
  • Staff understood people’s communication needs and supported them to make their views known.
  • Staff ensured that people’s needs were assessed and care plans reflected their individual needs and were updated when people’s needs changed. People and their relatives had been involved in planning their care.
  • People were supported with meaningful activities which supported their well-being and encouraged them to access the local community.
  • People living at the home and their relatives were able to raise concerns and the provider took action to improve the care they received.
  • People’s views about the quality of care they received were gathered and used to drive improvements in care. Additionally, people were involved in the running of the homes and their views were taken into account when recruiting staff or making changes.
  • The provider had effective systems in place to monitor the quality of care people received and took action when any concerns were identified. Staff felt supported and were encouraged to develop. The provider was working towards a no blame culture and concerns raised were used to continually improve the quality of care people received.

Rob Assall-Marsden, CQC’s Head of Inspection for Adult Social Care in the central region said:  “Our inspection team was really impressed by the level of care and support offered to people at The Oaks which we found gave them an enhanced sense of quality of life and well-being.

“There was a culture of continuous improvement and the provider engaged with external consultants to ensure they kept up to date with changes in best practice.

“Relatives were happy with the care their family member received. A person’s relative told us, “I am very happy with the care and I feel there are no concerns.” Another relative said, “There have been no concerns at all it is superb, my relative is not expected to fit in the home, the home is made to fit their needs.”

“One relative told us that the provider had installed a kitchen in a person’s room so that they could manage their concerns around meal times. Staff explained that another person was being supported to reach their goal of losing weight. They had been supported through healthy options and encouragement. The person was described as having increased in confidence and felt better as a result of their weight loss.

“People were supported to maintain relationships with people who are important to them. They were supported to pursue activities that they enjoyed, were meaningful to them and promoted their wellbeing.

“All of this meant people received a high standard of care, which is why it has been rated Outstanding.”

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