We carried out a review of the data available to us about 2-8 Orchard Street on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 2-8 Orchard Street, you can give feedback on this service.
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.
2-8 Orchard Street provides accommodation and personal care for up to 12 people living with mental health needs. People lived in three bungalows and shared a communal bungalow within the same grounds. At the time of our inspection there were 11 people living at the service.
2-8 Orchard Street is required to have a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of the inspection a registered manager was in post.
People received a safe service. Staff were aware of the safeguarding adult procedures to protect people from abuse and avoidable harm and had received appropriate training. Risks were known by staff and managed appropriately. Accidents and incidents were recorded and appropriate action had been taken to reduce further risks. People received their medicines as prescribed and these were managed correctly.
Staff received an induction, training and appropriate support. There were sufficient experienced, skilled and trained staff available to meet people’s needs. People’s dependency needs had been reviewed and were monitored for any changes. Staff were recruited through safe recruitment practices.
People were involved in the menu planning and their nutritional needs had been assessed and planned for. People’s healthcare needs had been assessed and were regularly monitored. The service worked well with visiting healthcare professionals to ensure they provided effective care and support.
The manager applied the principles of the Mental Capacity Act 2005 (MCA) and Deprivations of Liberty Safeguards (DoLS), so that people’s rights were protected. People were asked for their consent before care and support was provided and this was respected.
Staff were kind, caring and respectful towards the people they supported. They had a clear understanding of people’s individual needs, preferences and routines. Information about people’s social history was very limited. The provider asked people, relatives and representatives for their experience about the service provided.
People were involved in their care and support. There was a complaint policy and procedure available and confidentiality was maintained. People did not have access to independent advocacy services, however this was made available after our inspection. There were no restrictions on people visiting the service.
People were supported to participate in activities, interests and hobbies of their choice, independence was promoted and there were no restrictions placed upon them. People accessed the community independently as they wished.
The provider had systems in place that monitored the quality and safety of the service. There was a registered manager in place.