This inspection took place on 11 and 12 October 2018 and was unannounced.

Oaklands Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 accommodates 14 people in one adapted building. At the time of our inspection there were six people using the service.

Oaklands Care Home was previously owned and ran by Oaklands Care Home Limited. The last inspection of the service under this provider was carried out on 16 October 2017. The final rating following the inspection was 'Requires Improvement'. Breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were identified in relation to failings in identifying and managing risks to people’s welfare and safety. People’s care was not person centred and staff failed to treat people with dignity and respect. Staff had not received the right level of training to recognise where people’s health had deteriorated and did not always demonstrate they knew how to provide the right care. The requirements of the Mental Capacity Act 2005 (MCA) where not being followed where people lacked capacity to make decisions. We also found that improvements were needed in relation to the recruitment of staff to ensure they were safe to work with people in a social care setting. The governance and quality assurance systems were not effective and had not identified failings in the service.

This was the first inspection of Oaklands Care Home under the new provider Primos Care Limited and we found significant improvements had been made. A new manager was in post and had registered with the Care Quality Commission (CQC) to manage the service. A registered manager like registered providers, are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from risk of harm and staff had a good understanding of processes to keep people safe and how to report concerns. Safeguarding incidents were managed well. Peoples’ medicines were being managed safely. There were sufficient numbers of staff available to meet people’s needs. A thorough recruitment and selection process was in place, which ensured staff recruited had the right skills and experience, and were suitable to work with people who used the service.

Staff had access to the training they needed that gave them skills and knowledge to carry out their roles. Staff knew the needs of the people they supported well. They showed concern for people in a caring way and respond to their needs quickly, however, there were missed opportunities where staff could have spent meaningful time with people to provide stimulation and promote their wellbeing.

People were supported to eat and drink enough to maintain a balanced diet. People were supported to live healthier lives and had good access to healthcare services, where required. People and their relatives were complimentary about the attitude and capability of the staff. Staff had developed good relationships with people using the service. Staff treated people with kindness, promoted their independence and respected their privacy and dignity.

People were supported to express their views and be actively involved in making decisions about their care. Consent to care and treatment was being managed and sought in line with legislation and guidance. Staff understood the need to obtain consent from people before providing care and support. Further work was needed to ensure the provider was meeting the requirements of the Accessible Information Standards. This set of standards sets out the specific, approach for providers of health and social care to identify, record, share and meet the communication needs of people with a dis