Oaklands Nursing and Residential Home

Staff were not consistently receiving training in key areas. We recommended that training compliance levels were improved. Supervisions were occurring. People's diet and nutritional needs were met, and they told us they enjoyed the meals. The provider worked in partnership with other agencies to maintain people's health and wellbeing.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People's individuality was being respected. People were being treated with dignity and respect and had choices over their care. People and relatives told us they felt supported and were involved in meetings at the service.

People were supported to have person centred care. We made a recommendation about people and their families being involved in the care planning processes. Activities were being offered at the service and processes and systems were in place to respond to complaints. End of life care was being considered and planned for.

Systems and processes were not always effective to oversee and manage risk in the service. The views of people, families, staff and professionals were being sought and analysed. Staff and residents' meetings were regularly occurring. Staff and people felt the home was well managed and the new manager was bringing positive change. The manager and provider were aware of their duty of candour responsibilities and had taken appropriate steps to register the new manager at the service.