Oak Farm

This provider was able to demonstrate they were meeting the underpinning principles of Right support, right care, right culture.

Overall people were supported to have 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 received mixed feedback from relatives about activities. Some families said there should be more frequent activities outside of Oak Farm. We have made a recommendation about the activities provided by the service.

Right Support: People's religious, cultural and personal diversity was recognised by the service, with their care plans outlining their backgrounds and beliefs.

The provider had a process in place to safeguard people from the risk of abuse. Staff were knowledgeable about safeguarding and knew how to act on their concerns. The provider had a recruitment system in place to ensure appropriate staff were employed.

Risks associated with people's care had been identified and assessments were in place to minimise risks occurring. The provider adopted least restrictive practices underpinned by a positive behaviour approach.

Quality audits were in place and completed regularly by the senior team. However, a medication audit had failed to note an error in transcription. The medication policy in place referred to more frequent assessments of staff competence than were taking place. We recommend the provider review their system for auditing medication and their medication policy to ensure they are in line with best practice guidance.

Right Care:

People received care and support from staff who knew them well and understood their needs and considered their preferences. Staff interacted positively with people and had a caring and respectful approach.

The provider made sure people got all the information they needed in an accessible format, to support them to make decisions about their care and support, including easy read, pictorial and translation of documents from English.

Relatives told us they would like to be more involved in some areas of their families care and for their relative to have more support with independence.

Right Culture: Staff at all levels worked hard to promote a culture that was person-centred and inclusive. The vision and values of the home were understood by staff and translated into the delivery of care.

Staff told us should they have any concerns about poor practice they would feel confident to raise them and their concerns would be acted upon.

Staff supported people to explore and embrace their identity and provided care that was sensitive to equality and diversity.