Oak Grange

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 inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

During our last inspection the provider was in breach of legal regulations in relation to consent. We saw during this inspection the provider had made enough improvement and were no longer in breach of this regulation.

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’s needs were assessed and regularly reviewed. Care plans reflected individual preferences, health conditions, and communication needs. Staff used a range of tools to gather information, and assessments and were updated when people’s circumstances changed. One person told us, “They always check in with me to make sure things are still working.”

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. Care and support were based on best practice guidance. Staff followed clinical protocols and worked with healthcare professionals to ensure people received appropriate treatment. For example, speech and language therapy (SALT) input was used to support people with swallowing difficulties. Staff demonstrated good knowledge of people’s conditions and how to manage them safely.

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 well together and with external professionals. There was good clinical oversight, and communication between teams was effective. Staff liaised with GPs, district nurses, and other specialists to coordinate care. One relative said, “They always keep us informed and work with the doctor if anything changes.”

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 maintain and improve their health. Nutrition and hydration needs were met, with special diets and supplements provided where needed. Staff encouraged people to stay active and take part in meaningful activities. One person told us, “They help me eat well and keep moving. I feel better for it.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. Staff tracked progress against goals and adjusted support accordingly. Records showed people were achieving positive outcomes, such as improved mobility or better nutrition. The service had systems in place to review care effectiveness and make changes where needed.

The provider now told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent was now sought before care was provided. Staff now understood the principles of the Mental Capacity Act (2005) and assessed capacity where appropriate. People told us they were involved in decisions about their care. One person said, “They always ask me first, I feel in control.” Staff had completed training and knew how to support people to make informed choices.