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Inspection Summary


Overall summary & rating

Good

Updated 23 November 2018

Oaklands is a care home without nursing for up to six people with learning disabilities and/or who are on the autistic spectrum. At the time of this inspection there were six people living at the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing 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.

At this inspection we found the service remained Good in four of the five key questions, improving to Outstanding in the responsive question. This means the overall rating for the service remains Good.

Why the service is rated Good

The service continued to meet all the fundamental standards and had a registered manager as required. The registered manager was present and assisted us with the inspection.

People received extremely personalised care with staff demonstrating innovative and 'lateral' thinking in helping people to increase their independence and life skills and meet their needs. People were supported to identify their own goals and ambitions and to work towards achieving them by the highly motivated staff team.

People knew how to complain and staff knew the process to follow if they had concerns. Staff showed great skill in identifying when people, who were not able to communicate verbally, were distressed, anxious and/or concerned. Staff were quick to respond to any signs of distress. The success of their individualised interactions showed an in-depth knowledge of how each person demonstrated they were not happy and what to do to help them feel safe and calm.

People received excellent care and support from staff who were well trained and supervised. Staff demonstrated a strong commitment to ensuring people were involved in all aspects of decisions regarding their care and the development of the service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were protected from the risks of abuse. Risks were identified and managed effectively to protect people from avoidable harm. Recruitment processes were in place to make sure, as far as possible, that people were protected from staff being employed who were not suitable. Medicines were handled correctly and safely.

People were treated with care and kindness and their right to confidentiality was protected. People were treated with respect and their dignity was upheld. People's diversity needs were identified and incorporated into their care plans where applicable.

People benefitted from a service which had an open and inclusive culture. Staff were very happy working at the service and people benefitted from having staff who felt well managed and supported.

Further information is in the detailed findings in the full report.

Inspection areas

Safe

Good

Updated 23 November 2018

The service remains Good

Effective

Good

Updated 23 November 2018

The service remains Good

Caring

Good

Updated 23 November 2018

The service remains Good

Responsive

Outstanding

Updated 23 November 2018

The service has improved to Outstanding

People received extremely personalised care from staff who were highly motivated to support people to increase their independence and to identify and achieve their own goals and ambitions. The service provided was continually reviewed and improved in response to people's changing needs.

People were able to enjoy a number of activities, based on their known likes and preferences. Staff continually looked for ways to improve and enhance people's lives by exploring new activities and employments people could participate in. This resulted in people leading fuller lives than they had previously.

People and their relatives knew how to raise concerns and were confident the service would listen and take action on what they said. Staff showed great skill and took prompt action when people displayed any signs of being anxious or concerned.

Well-led

Good

Updated 23 November 2018

The service remains Good