- Care home
HF Trust - Orchard View
Report from 3 May 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 8 May to 10 May 2024 HF Trust - Orchard View is a residential care home providing accommodation for persons who require personal care and have a diagnosis of a learning disability and/or autism. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements. This assessment was carried out as improvements had been identified at the last assessment in February 2024. We made the decision to assess further quality statements at this assessment. We looked at 5 quality statements which included learning culture; safe systems, pathways and transitions; safe and effective staffing; safe environments and infection prevention and control, We will assess the other quality statements in future assessments. Managers understood local processes and procedures for ensuring continuity of care as people moved between services. Records of people’s referrals and healthcare appointments were well organised. Rotas demonstrated staffing levels were maintained to ensure people received their allocated support hours and there were staff with the necessary skills to support people safely and meet their individual needs. Processes were in place to ensure regular checks on the safety of equipment and the environment. The provider had processes to learn from accidents and incidents to ensure people’s experiences were improved. Learning was shared with staff at staffing meetings, individual supervision and through a communication book and emails.
People's experience of this service
People appeared comfortable in the presence of staff and staff knew people well. Relatives told us learning had been taken from previous inspections to improve people’s experience of living at Orchard View. Relatives told us people’s experience of living at Orchard View had improved over the last 6 months because of better staffing levels, a more consistent staff team and people were being given more opportunities to engage in activities that were important to them. Relatives described good communication to support learning and improve outcomes for people. People experienced continuity of care when they moved between healthcare services. For example, when people were admitted to hospital, staff from Orchard View continued to provide 1 to 1 support within the hospital setting. This meant people were supported by staff who understood their individual needs, communication requirements, preferences and routines. People benefited from living in a safe but homely environment where they had space to move around. Where people needed specialist equipment to help them transfer and mobilise, this had been serviced to ensure it was safe to use. People and relatives did not raise any concerns about the cleanliness of the home.