• Care Home
  • Care home

23 Oak Avenue

Overall: Good read more about inspection ratings

Minster on sea,, Sheerness, Isle of Sheppey, Kent, ME12 3QT (01795) 351641

Provided and run by:
Insight Specialist Behavioural Service Ltd

Important: This service was previously registered at a different address - see old profile

Latest inspection summary

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Our current view of the service

Good

Updated 3 August 2026

We carried out this assessment between 4 August and 17 August. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

The service is a care home. It is a specialist service for autistic people and people with a learning disability. It provides support for people who may display distressed behaviours. There were 2 people using the service at the time of the inspection.

People lived in a bungalow which was suitable for their mobility needs. People had their own shower room and toilet facilities and shared a kitchen and lounge. This helped create a familiar home environment where staff can support people in a more personal and flexible way. People had access to the garden where seating was provided.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

There was a new owner of the organisation. Staff told us this had resulted in some changes to their working practices, but the level of care and support of people received, remained the same. They said they were fully supported through the change process.

The management team told us the new provider had made improvements to the governance and oversight of the service through the introduction of new recording systems. They said they could access important information more quickly which helped them to identify and continuously monitor any patterns, trends or concerns. Regular audits and quality checks, together with feedback from people, relatives and staff, was used to identify and make improvements to the service. There was a positive learning culture whereby information was shared effectively by the staff team. We identified that there were some shortfalls in the management and storage of one medicine. The provider took immediate remedial steps and added this to their service improvement plan for effective monitoring.

Staff, relatives and visitors were complimentary about the way the service was managed. Comments included, “The home manager is responsive and staff are caring”; “He is very good manager. He is caring and committed”; and “The managers are there for us. They are brilliant. The shift leaders good too.”

The practice of positive behavioural support (PBS) had been established throughout the service. Positive behavioural support is an evidence-based, nationally recognised model of care. It is seen as the best way of supporting people who display or are at risk of displaying distressed behaviours which may cause harm to themselves or others. Staff were knowledgeable about the actions they should take to reduce the risk of distress and harm to people and others.

Each person had a person-centered support plan that set out what was most important to the person, such as their needs, preferences, routines and goals. Goals reflected changes in people’s health and mobility and focused on people enjoying quality of life. We observed that people went out, listened to music and enjoyed spending time in staff’s company. People’s health, wellbeing, distressed behaviours and participation in the community was reviewed every 6 months to effectively monitor if people were indeed achieving quality of life. Based on this in-depth analysis changes were made to people’s care and support, and further interventions and actions were identified.

Staff had opportunities for learning, development and reflective practice. New staff said they were welcomed by the staff team and always felt able to ask for help and support if they needed it. They were enough regular staff provided to ensure people had consistent, effective and safe support. Staff knew how to identify, report and escalate concerns. They were assured the registered manager would act on any concerns they raised.

Staff knew how to keep people safe, and this was confirmed by visitors to the service. Comments included, “Staff are confident and effective in redirecting the residents away from hazards and encouraging calming if required.” Staff had a good understanding of risks to people’s health and care. They could describe individual risks and the support people needed to minimise them.

There were regular checks of the environment to ensure it continued to be a safe environment for people, staff and visitors. This included visual checks and ongoing maintenance of equipment and services.

 

People's experience of the service

Updated 3 August 2026

People could not directly tell us about their experiences of living at the service. We observed staff supporting and communicating with people. We also spoke to people’s relatives and regular visitors to the service.

People benefitted from living at a service where there was a strong, visible person-centred culture. Staff were highly motivated to offer care and support that was exceptionally compassionate and kind. Staff were enthusiastic about their role, describing the enjoyment they gained from supporting the people in their care. A staff member told us, “I love this job. It is rewarding and different every day. I have rapport with the service users and make relationships. It is great when you get to know someone and they trust you”. A visitor told us, “The staff genuinely get on well. It is like that all the time. They work collaboratively and always have people’s best interests at heart.”

Relatives and health and social care professionals unanimously told us the service was exceptional in the way it treated people with kindness, compassion and dignity. A relative told us, “The staff are absolutely great. The manager is caring and committed. My family member is part of their family. The service is 5 star. It is the best place you could place anyone.” Visitors commented, “I am in awe of the place. It is a cut above the rest. They treat people like family, and it comes from a place of love. They go above and beyond. It is genuine love you couldn’t make up”; and “Staff care for individual residents in a way that is very much like a family. They are genuinely observant of their needs and aiming to give the best quality of life.”

We observed staff had built open and honest relationships with people and created a calm and caring environment. People indicated that they enjoyed being in the company of staff. One person enjoyed touch and staff gently rubbed their shoulders and tickled their back. In response the person smiled and indicated they would like some more attention. Another person enjoyed staff company and conversation but liked their own personal space and staff respected this. Staff had an excellent understanding of people’s specific routines and how to support people to have a good day. They spoke about people respectfully, focusing on their strengths and achievements. For example, staff told us 1 person only liked to be support by specific staff and that they made their preferences clear. This was not seen as a negative but as an expression of the person’s personality. Staff explained it took time to build up trust with staff and felt they would probably feel the same if they were in the service user’s situation.

People benefitted from staff who were skilled at understanding their likes, dislikes and communication needs. Staff described how changes in people’s body language or facial expressions indicated that they were happy or upset. We observed staff quickly responding to changes in people’s mood and well-being during our visit to the service.

Staff were particularly sensitive to times when people needed caring and compassionate support. Staff had thought about the effect on everyone when people moved into and left the service. They described people leaving the service as a bereavement for those staff and people who remained. Social stories had been specifically written for people to help understand and cope with these significant changes.

We observed people being supported to eat and drink according to guidance in their care plans. People were offered snacks and drinks throughout the day. It was a hot day and people were encouraged to have cold drinks and to keep cool by sitting in the garden or in lounge which was kept cool using a fan.

Relatives said they and their family member were involved in planning and making decisions about their care and support. Staff described how they supported people to make choices and decisions, and we observed this during our visit. Relatives told us staff kept them up to date with any changes in their care.

Peoples on going needs were taken into consideration. The service had been developed to accommodate the needs of people who had reduced mobility. Adaptations had been made such as the widening of a doorway and the provision of a ramp so people using a wheelchair could gain access to their home and garden. Consideration was being made to how to future proof people’s home so they could remain living their if their health needs further deteriorated.