You are here

Oxford Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 November 2019

About the service

Oxford Road is part of Arden College that provides specialist further education for young people aged 16-25 years of age with learning disabilities. There were support staff present in the home 24 hours per day. Accommodation can be term time only and outside of term time if required. At the time of our inspection there were two people living at the home, and one person receiving respite care two days a week.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 16 people but had been adapted to provide individual accommodation for five young adults aged over 18 who attend the college. There was additional classroom space on the ground floor of the property. The size of the service having a negative impact on people was partially mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs. However, the presence of an industrial bin and minibuses in the car park identified the building was not in use as a domestic dwelling.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

People’s experience of using this service

Staff were not always deployed safely in accordance with people’s needs. Staff from other services did not always receive a thorough induction before undertaking their duties. Some staff had not completed essential training.

Risk was not always managed in accordance with best-practice guidance. Changes were not always made to reduce risk following incidents. The service did not have the resources to respond to complex behaviours in a timely manner. We made a recommendation regarding this.

Medicines were managed safely in accordance with best-practice guidance. Staff had been trained in adult safeguarding and understood their role in relation to keeping people safe. The service sought support from other social and healthcare professionals to improve practice.

Staff did not always understand their roles and how to safely manage some risks. People living at the home were involved in discussions about their care wherever possible. Staff used alternative forms of communication to help people understand important information.

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; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and

Inspection areas

Safe

Requires improvement

Updated 6 November 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 6 November 2019

Caring

Good

Updated 6 November 2019

Responsive

Good

Updated 6 November 2019

Well-led

Requires improvement

Updated 6 November 2019

The service was not always well-led

Details are in our Well-Led findings below.