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Inspection Summary


Overall summary & rating

Good

Updated 2 October 2018

Oaklea is registered both as a care home but also to provide a personal care service to people living in their own home.

Oaklea provides accommodation and personal care for up to five people living with autistic spectrum disorder and/ or other mental health needs. People in care homes receive accommodation and their care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection. At the time of our inspection there were five people living in the care home.

At the time of the inspection, staff were providing a personal care service to one person who was living in their own home. When people live in their own home, CQC do not regulate the premises within which they live, only the ‘personal care’ being provided.

The service has been developed and adapted in line with values that underpin the Registering the Right Support and other best guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can lead as ordinary life as any citizen.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

At our last inspection in September 2015, we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. However, some elements of the service were outstanding.

People experienced outstanding care that was extremely flexible and responsive to their individual needs and preferences, from a dedicated staff team who consistently went above and beyond what was expected of them. The personalised care provided achieved exceptional outcomes for people, enriching the quality of their lives and improving their physical and mental wellbeing.

People were fully involved in planning their care and led active, fulfilling lives, supported by staff who were totally committed to promoting their independence.

Feedback provided by people, their families and professionals, consistently highlighted staff had an excellent understanding of individual’s social and cultural diversity, their values and beliefs, and how they wanted to receive their care and support.

Staff had taken innovative steps to meet people’s information and communication needs, which ensured they complied with the Accessible Information Standard. Staff went the extra mile to address people’s needs in relation to their protected equality characteristics.

The registered manager and provider consistently used the learning from complaints, concerns and reviews as an opportunity for improvement.

Staff tactfully supported people and their families to explore and record their wishes about their preferred care options at the end of their life.

People were protected from avoidable harm, neglect, abuse and discrimination by staff who understood their responsibilities to safeguard people. Risks to people were assessed and plans were devised to minimise potential risks, whilst promoting people’s independence. Medicines were administered safely. Prospective staff underwent relevant pre-employment checks to ensure they were suitable to work with the people who lived with autism or a learning disability. There were always sufficient suitable staff with the right experience and skills mix, to provide care and support to meet people’s needs.

Staff were enabled by the p

Inspection areas

Safe

Good

Updated 2 October 2018

The service remains Good.

Effective

Good

Updated 2 October 2018

The service remains Good.

Caring

Good

Updated 2 October 2018

The service remains Good.

Responsive

Outstanding

Updated 2 October 2018

The service was extremely responsive and had improved to outstanding.

The registered manager and staff were focused on providing person-centred care and support, which achieved exceptional outcomes for people.

Staff had outstanding skills and an excellent understanding of people's individual needs relating to their protected equality characteristics and their values and beliefs.

Staff had taken imaginative and innovative steps to meet people�s information and communication needs to ensure they complied with the Accessible Information Standard.

Staff tactfully supported people and their families to explore and record their wishes about their preferred care options at the end of their life.

Well-led

Good

Updated 2 October 2018

The service remains Good.