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Inspection carried out on 15 January 2020

During a routine inspection

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 carried out on 13 July 2017

During a routine inspection

We inspected this service on 13 July 2017. This was an unannounced inspection. This was the first inspection of this service under the current registration. The service provides support to 11 people with a learning disability within two bungalows.

There was a registered manager in the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from unnecessary harm by staff who knew how to recognise signs of abuse and how to report concerns. Individual risks were assessed and reviewed to keep people safe and protect them from avoidable harm. People had opportunities to be involved with a variety of activities and could choose what to be involved with. Staffing was organised flexibly to enable people to do the things they enjoyed.

Medicines were managed safely to ensure that people received their medicines as prescribed and to keep well. Staff knew why people needed medicines and when these should be taken. Staff knew how to support people to eat well and there were sufficient numbers of staff to meet peoples need.

People made decisions about their care and staff helped them to understand the information they needed to make informed decisions. Staff sought people’s consent before they provided care and they were helped to make decisions which were in their best interests. Where people’s liberty was restricted, this had been done lawfully to safeguard them.

People were treated with kindness and compassion by staff who knew them well. People liked the staff who supported them and had developed good relationships. People received personalised care and were confident that staff supported them in the way they wanted. People’s health and wellbeing needs were monitored and they were helped to organise and attend health appointments as required.

Staff listened to people’s views about their care and they were able to influence the development of the service. People knew how to complain and concerns were responded to. Staff felt well supported by the registered manager and provider. The provider and manager assessed and monitored the quality of care to ensure standards were met and maintained. They understood the requirements of their registration and informed us of information that we needed to know.