Background to this inspection
Updated
8 June 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: 2 to 8 Orchard Street is a care home. People in care homes receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a registered manager in place at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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: This inspection was announced. We gave the provider 24 hours’ notice as this is a small service and we needed to ensure there was a manager in the office to allow access to inspection related documents.
What we did: We reviewed information we had about the service prior to our inspection. This included details about incidents the provider must notify us about, such as abuse and accidents. We spoke with the local authority quality monitoring team who work with the service.
During the inspection we spoke with three people at the service and one relative, to ask about their experience of the care provided.
We spoke with three members of care staff. We also spoke with the registered manager.
We reviewed a range of records. This included three care records, behaviour monitoring records, medication records and four staff files. We also looked at the training matrix, audits, accident records and records relating to the management of the home.
Updated
8 June 2019
This inspection took place on 14 May 2019.
About the service: 2 to 8 Orchard Street is a care home that was providing personal and nursing care to 12 people at the time of the inspection.
People’s experience of using this service:
People felt safe at the service and the risks to their safety were well managed with clear strategies in place to reduce the risks for people. They were supported with appropriate numbers of staff. Their medicines, nutritional needs, and health needs were well managed, and they lived in a clean and well-maintained environment.
People were supported by staff who had appropriate training for their roles. Staff gained people’s consent before providing care.
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. People were able to express their views and opinions about their care.
People had formed positive relationships with staff who knew their needs and preferences. Their dignity and privacy was maintained by a staff group who also encouraged people’s independence.
There was a positive culture at the service and people felt listened to, they could raise complaints or concerns and know they would be addressed by staff.
There was an open culture at the service and the quality monitoring processes undertaken maintained good standards of care for people who lived there.
Rating at last inspection: The last report was published as ‘Good’ (published 9 November 2016)
Why we inspected: We last inspected in October 2016, and the inspection was required to ensure the service was still ‘good’. We routinely inspect services rated as ‘good’. This is to ensure the service remains at a good level and care is safe. We had no concerns when we planned this inspection. It was planned in line with our usual timelines.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.