Oakley Lodge

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People and relatives told us staff knew them well and understood their individual needs, preferences, health conditions and what was important to them.

Staff used assessments, care plans, positive behaviour support plans and reviews to understand and respond to changing needs. Leaders involved people, relatives and relevant professionals in assessing and reviewing care, and support was adapted when needs changed.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People were supported to access healthcare services, including GPs, dentists and specialist professionals, when needed. Records demonstrated people received support to manage their health needs and access appropriate treatment and advice.

Staff demonstrated an understanding of people's health conditions, communication needs and support requirements. Care was informed by recognised assessment tools, including pain assessment tools for people unable to communicate verbally, specialist advice and evidence-based approaches, including positive behaviour support.

Overall, professionals were positive about care planning and staff knowledge of the people they supported. Leaders used current guidance and good practice to inform care delivery and review.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked with relatives, social workers, health professionals and other agencies to help ensure people received coordinated care and support. Information was shared between teams to support continuity of care and respond to people's changing needs.

Leaders and staff described effective multidisciplinary working and records demonstrated ongoing involvement from health and social care professionals. Professionals were generally positive about communication, engagement and information sharing. The provider had identified opportunities to further strengthen communication and information sharing and was using this learning to improve partnership working.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to make choices about their lifestyle, diet and activities, including exercise and community opportunities.

Staff promoted healthy eating, hydration and physical activity and monitored people's health needs where required. Records demonstrated people received support to access healthcare services and ongoing monitoring for a range of health conditions.

Overall, professionals described staff as proactive in managing people's health and wellbeing. Staff worked with healthcare professionals to monitor multiple health conditions, access timely medical support and help prevent deterioration in people's health.

Staff and leaders used monitoring systems, reviews and recognised assessment tools to identify changes in people's needs and evaluate outcomes. This included monitoring health conditions, identifying potential health concerns and reviewing progress towards personal goals.

People, relatives and professionals described positive outcomes including improvements in seizure management, confidence and independence. For example, 1 person's support was adapted over time as their independence increased, helping them achieve positive outcomes whilst reducing reliance on care and support. For another person, a professional reported a reduction in hospital admissions and improvements in their overall wellbeing.

Leaders maintained an outcome-focused approach and used information gathered through monitoring and review processes to inform ongoing care and support. Overall, professionals were positive about the outcomes achieved and the provider's role in supporting people's wellbeing.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People told us staff asked for their consent before providing support and involved them in decisions about their care. We observed staff seeking consent and respecting people's choices during interactions.

Staff demonstrated an understanding of consent, choice and least restrictive practice. They described supporting people to make their own decisions, including when people chose to make decisions others may consider unwise.

Leaders demonstrated a good understanding of legislation relating to consent, capacity and restrictive practice. We identified a temporary restriction within the service which had been implemented to manage risks. Leaders were reviewing the arrangements with relevant professionals to ensure they remained necessary, proportionate and the least restrictive option available.

People were supported to access advocacy and to involve those important to them in decision-making where appropriate. Leaders kept up to date with changes in legislation and sought specialist advice to help ensure people's rights were protected.