23 Oak Avenue

This report from the Care Quality Commission (CQC) provides an overview of the inspection of Oak Avenue, a residential care service supporting up to three adults with complex learning disabilities and mental health needs. The inspection focused on assessing the service's safety, effectiveness, caring approach, responsiveness, and leadership. It highlights the dedication of the providers and staff in creating a person-centred environment that promotes independence and well-being for residents. The report details how the service is designed to meet individual needs, with a strong emphasis on positive behavioural support and effective communication strategies.

Regarding safety, the home has robust systems to protect residents from harm. Staff are well-trained to understand and respond to individuals' communication, including behaviours, to minimise risks. The deployment of sufficient and appropriately trained staff ensures that residents' needs are met, and safety is maintained, especially during community outings or overnight. Risk assessments are detailed and regularly reviewed, with interventions and staffing levels adjusted accordingly. Safeguarding policies are understood, and staff are trained to identify and report any concerns. Environmental risks are managed, and emergency procedures are in place. Medicines are administered safely by trained staff, with meticulous record-keeping. Safe recruitment practices are followed to ensure staff suitability.

In terms of how effective the care is, staff demonstrate a deep understanding of residents' communication styles and individual needs. They are equipped with the necessary skills and have received specialised training, including in managing challenging behaviours, ensuring residents’ health and well-being are actively supported through monitoring and timely access to healthcare professionals. Residents are involved in their meal planning, with dietary needs and preferences carefully considered, and their involvement in food preparation is encouraged. Regular supervisions and appraisals support staff development and ensure their competence.

The service is caring, with staff treating residents as individuals and respecting their privacy and dignity. Residents are actively involved in the planning of their care through a person-centred approach, and their views are consistently taken into account. Staff are observed to be kind, calm, and compassionate, readily offering choices to residents regarding their daily routines and activities. This approach ensures that residents feel respected and valued, and their personal preferences guide the care they receive.

The care provided is responsive to residents' needs, with positive behavioural therapists working collaboratively to achieve positive outcomes. Residents' care plans are clinically reviewed regularly, and staff demonstrate a good understanding of individual preferences, likes, and dislikes. The home supports residents in maintaining important relationships and encourages engagement within the local community. Appropriate systems are in place to address complaints, ensuring resident feedback is heard and acted upon.

The home is well-led, with providers working closely with the registered manager and staff to promote inclusion and person-centred care. The service utilises innovative methods for residents to share their opinions on the quality of care. Data analysis and professional planning inform decision-making before any changes are implemented, carefully considering the impact on residents. Clear structures are in place for monitoring and reviewing risks, contributing to a safe and well-managed environment. The leadership team is committed to continuous improvement based on research and collaboration with external experts.