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Inspection Summary


Overall summary & rating

Good

Updated 28 June 2017

The Oaks and Willows provide supported living and personal care to younger adults who have a learning disability or autistic spectrum disorder. The ethos of the service is to enable people to gain and maintain skills to achieve independent living. Tenants who use the service live in two supported living houses and an independent bedsit on the same site. They hold a tenancy agreement for their bedroom and/or flat.There were seven tenants living there at the time of our inspection, one of whom lived with dementia. The organisation’s office is located in one of the houses. The Care Quality Commission inspects the care and support the service provides to younger adults but does not inspect the accommodation they live in.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good and met all relevant fundamental standards.

The service was outstandingly caring. The registered manager and the staff’ approach promoted an environment where people could affirm themselves and excel. They promoted people’s independence, encouraged them to do as much as possible for themselves and make their own decisions. Comments from relatives included, “Exceptional staff, they care so much, they often go the extra mile”, “The staff are truly fabulous, always friendly, always caring” and, “I cannot think of one negative thing to say about them.” A local authority case manager who oversaw the wellbeing of some of the tenants in the service told us, “I hope in the future they [the provider] will have more supported living properties like this or an outreach service. They continue to provide a brilliant caring friendly service (…) Individuals are encouraged to live their lives socially, families are encouraged to continue to be part of service users’ lives.”

Staff knew how to recognise signs of abuse and how to raise an alert if they had any concerns. Risk assessments were centred on the needs of the individual. Each risk assessment included clear measures to reduce identified risks and guidance for staff to follow or make sure people were protected from harm.

Accidents and incidents were recorded and monitored to identify how the risks of recurrence could be reduced. Appropriate steps had been taken to minimise risks for people while their independence was actively promoted.

There was a sufficient number of staff deployed to meet people’s needs. Thorough recruitment procedures were in place to ensure staff were of suitable character to carry out their role. Staff received essential training, additional training relevant to people’s individual needs, and regular one to one supervision sessions.

People were appropriately supported with taking their medicines, attending appointments and were promptly referred to health care professionals when needed.

Staff knew each person well and understood how to meet their support and communication needs. Staff communicated effectively with people and treated them with kindness and respect.

Personal records included people's individual plans of care, likes and dislikes and preferred activities. These records helped staff deliver support that met people’s individual needs. Staff knew about and people’s dietary preferences and restrictions, and helped them prepare their menus.

The provider and the management team were open and transparent in their approach. They placed emphasis on continuous improvement of the service. There was an effective system of monitoring checks and audits to identify any improvements that needed to be made. The registered manager acted on the results of these checks to improve the quality of the service and support.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 28 June 2017

The service remained : Good.

Effective

Good

Updated 28 June 2017

The service remained: Good.

Caring

Outstanding

Updated 28 June 2017

The service remained: Outstanding.

Responsive

Good

Updated 28 June 2017

The service remained: Good.

Well-led

Good

Updated 28 June 2017

The service remained: Good.