Oaklands

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good in four of the five key questions, improving to Outstanding in the responsive question. This means the overall rating for the service remains Good.

Why the service is rated Good The service continued to meet all the fundamental standards and had a registered manager as required. The registered manager was present and assisted us with the inspection.

People received extremely personalised care with staff demonstrating innovative and 'lateral' thinking in helping people to increase their independence and life skills and meet their needs. People were supported to identify their own goals and ambitions and to work towards achieving them by the highly motivated staff team.

People knew how to complain and staff knew the process to follow if they had concerns. Staff showed great skill in identifying when people, who were not able to communicate verbally, were distressed, anxious and/or concerned. Staff were quick to respond to any signs of distress. The success of their individualised interactions showed an in-depth knowledge of how each person demonstrated they were not happy and what to do to help them feel safe and calm.

People received excellent care and support from staff who were well trained and supervised. Staff demonstrated a strong commitment to ensuring people were involved in all aspects of decisions regarding their care and the development of the service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were protected from the risks of abuse. Risks were identified and managed effectively to protect people from avoidable harm. Recruitment processes were in place to make sure, as far as possible, that people were protected from staff being employed who were not suitable. Medicines were handled correctly and safely.

People were treated with care and kindness and their right to confidentiality was protected. People were treated with respect and their dignity was upheld. People's diversity needs were identified and incorporated

into their care plans where applicable.

People benefitted from a service which had an open and inclusive culture. Staff were very happy working at the service and people benefitted from having staff who felt well managed and supported.

Further information is in the detailed findings in the full report.

The five questions we ask about services and what we found