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Inspection Summary


Overall summary & rating

Good

Updated 4 March 2020

About the service

Oakwood Bungalows is a small care home providing personal and nursing care with 11 people using the service at the time of the inspection. The service supports up to 11 people with autistic spectrum conditions and/or learning disabilities, who may have behaviours that challenge and associated complex needs. There is 24-hour nursing care provided, with a sleep-in provision each night by a registered nurse, in addition to the care staff on duty.

Services for people with learning disabilities and or autism are supported

The service recognises the principles and values that underpin Registering the Right Support and other best practice guidance. These ensure 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 was appropriate and inclusive for them. The service was bigger than most domestic style properties and registered for the support of up to 11 people. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area. There were deliberately no identifying signs to indicate it was a care home.

People’s experience of using this service and what we found

People were safe, staff understood how to protect them from avoidable harm. The provider assessed and managed risks to people well including supporting where behaviours were challenging. Personalised risk management plans allowed people to take positive risks while protecting them from harm. When things did go wrong, they learned from this to improve risk management plans. There were sufficient staff who had been recruited safely, with checks in relation to references and criminal records. Medicines were managed safely.

People received consistently good care that was effective to their needs. People were supported by staff who were knowledgeable and suitably trained. People's healthcare needs were monitored to ensure their day to day needs were met. Assessments and care plans for people were clear, included best practice guidance and were reviewed to ensure any changes were documented and shared with the staff team. The service involved people in decisions about their care. People used equipment and technology to ensure they could do things independently. People were supported to make choices for their meals and their nutritional needs were considered. Health care needs were reviewed, and action taken to promote people’s wellbeing.

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.

People’s views had been obtained to drive improvements. There was a homely atmosphere and people had been encouraged to decorate and enjoy their environment as they wished. People had established positive relationships with staff. There was a strong person-centred culture throughout the service. Staff were compassionate, respect was shown to people and their dignity choices and preferences were adhered to.

People were involved in developing their planned care and support. People were supported to lead independent lives where possible. Information was provided in formats that were accessible to people. Complaints and concerns were comprehensively recorded and fully Investigated with lessons learned and action taken appropriately. Information was stored securely and confidentially.

The registered manager led by example and made sure staff were well supported and aware of their responsibilities. They used audits effectively, to reflect on any actions or trends and completed a detailed

Inspection areas

Safe

Good

Updated 4 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 4 March 2020

The service was extremely effective.

Details are in our effective findings below.

Caring

Good

Updated 4 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 March 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 March 2020

The service was well-led.

Details are in our well-led findings below.