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The Oakleaf Care Group (Hartwell) Limited Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 30 June 2018

This inspection took place on the 3 and 4 May 2018. The first day of the inspection was unannounced and we carried out an announced visit on the second day.

Oakleaf Care Group (Hartwell) Limited is a ‘care home’. People in care homes receive accommodation and nursing or personal 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.

The service provides a range of specialist assessment and rehabilitation programmes for people with acquired brain injuries, other neurological conditions or early onset dementia. They may also have other associated complex cognitive impairments or physical disabilities. Oakleaf Care Group (Hartwell) is registered to provide accommodation, nursing and personal care for up to 16 people in two adapted buildings. The accommodation consists of Mosley House, which focusses on providing active rehabilitation and Mosley Lodge, which is designed to accommodate people requiring a higher level of support. At the time of the inspection there were 11 people living at the service.

At the last inspection, on 2 and 3 March 2016, the service was rated ‘Good'. At this inspection we found that the service was now rated ‘Outstanding’.

There was a registered manager in post. A registered manager is a person who has registered with the 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 2008 and associated Regulations about how the service is run.

The service demonstrated an excellent commitment to providing outstanding support, which put people at the heart of everything. The provider and registered manager led the staff to deliver person centred care, which had achieved consistently outstanding outcomes for people.

Staff continuously went beyond expectations to ensure that people received truly individualised care that was flexible and responsive to their needs. Staff respected people's individuality and empowered people to express their wishes and make their own choices.

Staff demonstrated the provider's values of offering person centred care that respected people as individuals in all of their interactions with people. Staff at all levels had a strong belief that they were providing the best possible support for people, and were confident and empowered in their roles because of the strong leadership and management across the service.

Staff were innovative in their approach to support, and were enthusiastic about supporting people to overcome life’s challenges. People and their relatives consistently told us that the service provided exceptional care and support to people.

There was a very effective system of quality assurance that ensured people consistently received exceptional care and support. The people receiving support from the service had an enhanced quality of life because the service worked innovatively to respond to people’s feedback and enable people to have meaningful experiences.

Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse. Detailed risk assessments and behaviour management plans were in place to manage all risks within a person’s life. Staff were confident in supporting people with complex needs and behaviours and enabled and empowered people to live as independent a life as possible safely. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. People could be assured that they would be supported by sufficient numbers of staff with whom they had developed positive relationships.

Staff were provided

Inspection areas

Safe

Good

Updated 30 June 2018

The service remains Good.

Effective

Good

Updated 30 June 2018

The service remains Good.

Caring

Good

Updated 30 June 2018

The service remains Good.

Responsive

Outstanding

Updated 30 June 2018

The service was exceptionally responsive.

Support was completely personalised to each individual�s needs and choices. Staff understood the best way to support each person to empower and enable them to live life as they chose.

People's care was based around their individual goals and their specific personal needs and aspirations.

Innovative approaches were used to maximise each person�s potential, and ability to take part in meaningful activity.

Feedback from people and relatives was extremely positive about the quality of life people were experiencing as a result of receiving support from the service.

People using the service and their relatives knew how to raise a concern or make a complaint. There was an accessible complaints system in place, which ensured that any concerns were dealt with promptly.

Well-led

Outstanding

Updated 30 June 2018

The service was exceptionally well-led.

The registered manager and provider put people at the heart of everything and were proactive in seeking people's views and experience of their care and support.

There was a culture of openness and transparency; the senior management team continually encouraged and supported the staff to provide the best possible person centred care for people and their families.

The provider went to great efforts to involve the service in the local and wider community. People were empowered by the way they were enabled to help others.

Quality assurance systems in place were effective and any shortfalls found were promptly addressed. There was a consistent drive to ensure that standards were maintained and improved.