Orchard View

Updated 8 August 2019

The Inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector and an expert by experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Orchard View is a care home without nursing. People in care homes receive accommodation and personal care. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because it is small, and we needed to be sure that they would be available to assist us with the inspection.

Inspection site visit activity started on 19 June 2019 and ended on 19 June 2019. We spoke with one staff member on 20 June 2019 over the telephone.

What we did:

Prior to the inspection we reviewed the information we held about the service and the notifications we had received. A notification is information about notifiable events, which the service is required by law to send us. The registered manager had completed a PIR or provider information return. This form asked the registered manager to give us some key information about the service, what the service did well and improvements they planned to make.

During the inspection we spoke with four people living at the service and contacted two relatives by telephone. We received written feedback from a relative whose family member was due to move to the service. We had discussions with the registered manager, deputy manager and three care and support staff.

We looked at the care records for three people in detail and sampled other records, such as those for medicines administration, audits and the management of risks. We examined two staff recruitment files, sampled policies and procedures in use, and reviewed complaints, concerns and notifications sent to us about the service. We contacted two health and social care professionals; one responded and shared their views with us.

Updated 8 August 2019

About the service:

Orchard View is a residential care home that was providing accommodation and personal care for up to five younger people, some of whom may have a mental health diagnosis, or may be living with a physical or learning disability. There were five people using the service at the time of the inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

People were at the very heart of the service. Staff promoted people's right to make choices in every aspect of their lives and actively supported them to maintain their independence.

People were treated with dignity and respect in a way that truly valued them as individuals. The registered manager and all staff, whatever their role, were always prepared to go the extra mile to ensure people received the care they needed and lived full and meaningful lives. People’s diversity was completely respected, embraced and embedded in practice and staff had an excellent understanding of people’s cultural diversity.

The staff and the management team were passionate about providing people with support that was based on their individual needs, goals and aspirations. As a result, their care was tailored to meet their exact needs.

The staff at Orchard View were committed to making sure people lived fulfilling lives and were highly motivated with a 'can do' approach which meant they were able to achieve positive outcomes for people. Without exception, people spoke positively about their experience of the service and the successes they had been supported to achieve.

It was clear the culture within the service valued the uniqueness of all individuals who lived there. The service used person centred and innovative ways to provide people with the support they needed, based on best practice.

The service took a key role in the local community and was actively involved in building further links. People had expressed a wish to give back to their local community and had been supported to go out litter picking.

The arrangements for social activities, and where appropriate education and work, were inventive and met people’s individual needs. People had been supported to gain paid and voluntary work and the provider provided training for people to increase their skills and confidence.

There was a high level of satisfaction with the service and people were well supported to express their views, so improvements could be made. There was strong leadership that put people first and set high expectations for staff.

We found an open ethos with a clear vision and values which were put into practice by staff, who were proud to work for the service and felt valued for their work. A very positive culture was demonstrated by the attitudes of staff and management when we talked with them about how they supported people.

There were systems in place to make sure the service was safe, with very good staffing levels and highly skilled staff to deliver good quality care.

Risks to people were fully assessed and well managed. People were supported to take positive risks, to make sure they had greater choice and control of their lives. The positive risk-taking approach showed that staff respected people's right for independence and their right to take risks.

People were fully involved and supported to safely recruit staff to work at the service. This ensured that successful applicants had the right values and skills to match the values that were at the heart of the service.

Staff were trained in infection control and the safe administration of medicines. There were robust arrangements in place for the service to make sure that action was taken, and lessons learned when things went wrong, to improve safety across the service.

People’s needs, and choices were assessed, and their care provided in line with their preferences. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people.

People were supported to be independent in shopping, preparing and cooking their own meals. Staff supported people to access health appointments when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act (MCA) were followed.

More information is in Detailed Findings below.

Rating at last inspection: Good (report published 21 October 2016)

Why we inspected: This inspection was scheduled for follow up based on the last report rating.

Follow up: We will continue to monitor the intelligence we receive about the service. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk