Oakley House Ltd

Right Care: The model of support did not always promote maximum choice and independence. The ethos, attitudes and behaviours of managers and staff did not always ensure that people lead confident inclusive and empowered lives.

Right Support: The provider could not show how they met some of the principles of Right support, right care, right culture. This meant we could not be assured that people who used the service were able to live as full a life as possible and achieve the best possible outcomes.

Right culture: Although people told us they felt safe and were happy living at Oakley House, the provider did not focus on people's quality of life, and care delivery was not person centred. Staff did not always recognise how to promote people's rights, choice or independence.

People received their medicines as prescribed and staff supported them to manage their treatment by arranging blood tests and healthcare appointments. However, improvements were required around the guidance for staff for when some medicines were required. The provider was also not following the guidance required when visitors were attending the service.

Risk associated with people's care was managed well by staff. People told us they felt safe at the service and staff ensured they were protected from the risk of abuse and neglect. 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. Staff received appropriate training in relation to their role and were encouraged to progress.

People enjoyed the meals at the service and where they were at risk nutritionally staff supported them with this. Staff ensured that people were supported with their ongoing health.