Oakley Lodge

People received care and support from staff who knew them well and treated them with kindness, dignity and respect. Overall, people, relatives and professionals were positive about the support provided and the outcomes achieved. People were supported to make choices, maintain their independence and pursue goals that were important to them.

Staff demonstrated a good understanding of people's individual needs, preferences and aspirations. People were supported to access healthcare, community activities and opportunities that reflected their interests and goals. A particular strength of the service was its commitment to reducing barriers and improving equality of opportunity. Staff and leaders challenged assumptions about what people could achieve and supported people to access meaningful opportunities despite multiple health, behavioural or communication needs.

Overall, staff felt supported by leaders and described managers as approachable and responsive. Leaders were visible within the service and worked collaboratively with people, relatives, staff and professionals to improve outcomes.

We identified concerns relating to medicines records and governance processes. Whilst there was no evidence people had come to harm, existing quality assurance systems had not fully identified some medicines recording and documentation issues. Leaders responded promptly to the concerns identified and took action to strengthen oversight, monitoring arrangements and documentation. Further time was needed to ensure these improvements were fully embedded and sustained.

We assessed the service against the principles of Right Support, Right Care, Right Culture. We found people received care and support in accordance with the principles of this guidance. People were supported to make choices, maintain relationships, develop independence and access opportunities within their local communities.