CQC report explained · a residential care home, run by Voyage

Oakcroft

8 Winston Rise, Four Marks, GU34 5HW

Goodpublished 25 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask

Safe?: Good; People were protected from abuse and avoidable harm. Inspectors found safe medicines systems, enough staff, reviewed risk assessments and appropriate infection prevention arrangements.
Effective?: Good; Staff followed consent and best-interest processes, had relevant training and supported people to eat well and access healthcare. Care plans were detailed and regularly reviewed.
Caring?: Good; Staff treated people with kindness, dignity and respect. People were supported to express their views, make choices and develop their independence.
Responsive?: Good; Care was tailored to people's needs, preferences and communication methods. People took part in activities at home and in the local community, and complaints were managed appropriately.
Well-led?: Good; The home had a positive, person-centred culture. Audits, feedback and improvement plans were used to monitor quality and address shortfalls.

The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found safe, kind and personalised care, with end-of-life plans still to be put in place.

Inspectors visited without notice on 4 and 6 October 2023. They spoke with one person, observed the other three people, spoke with relatives and staff, and reviewed care, medicines, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, detailed care plans, respectful support and activities that helped people stay active and connected with the community.

People were supported to make choices, build independence and access healthcare. The home had effective checks and improvement systems. However, end-of-life support plans had not yet been created because people were healthy at the time.

What inspectors praised

Personalised support
Support plans and risk assessments reflected people's individual needs, preferences and goals. They were reviewed and updated.
“Support plans and risk assessments were person-centred, regularly reviewed and updated.” from the report
Choice and independence
People were supported to make everyday choices and build their independence in ways that considered safety and their best interests.
“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” from the report
Kind and respectful care
Inspectors observed staff treating people with kindness, compassion, dignity and respect. Staff knew people's likes, dislikes and preferences.
“We observed staff interactions with people which showed they were treated with kindness, compassion, dignity, and respect.” from the report

What inspectors were concerned about

End-of-life planning
needs fixing
The home did not yet have end-of-life support plans. The manager said these were planned, even though people were healthy at the time.
“The registered manager told us they did not have end of life support plans; however, she was planning to put end of life support plans in place.” from the report
Use of agency staff
minor
A relative said agency staff were sometimes needed and that this was not ideal. The report says some agency staff had worked at the home for a while, which was better.
“Sometimes the home needs to use agency staff, which isn't ideal. Some agency staff have worked there for a while now, so that is better.” from the report

Questions to ask them, based on this report

01When will each person's end-of-life support plan be completed, and how will their wishes be recorded and reviewed?
02How often are agency staff used, and how do you make sure people are supported by staff who know them well?
03How are medicine competency assessments kept up to date for all staff?
04How will people who need restrictions for safety still get access to the kitchen when they can use it safely?
05How are people and relatives involved in care reviews and quality feedback?

The inspection assessed all five key questions and included observations, discussions with people, relatives and staff, and reviews of care, medicines, recruitment and management records. This explanation was written from the published report of 25 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Oakcroft

3 rated inspections over 8 years: the service has held its Good rating throughout.

November 2023Goodcurrent ratingstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Oakcroft →
October 2017Goodstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
We are reading this report · the original is on cqc.org.uk
October 2015Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read this report on cqc.org.uk
July 2014
Registered with the Care Quality Commission on 29 July 2014.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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