About the service The Orchards is a residential care home providing personal and nursing care to 25 people older people some who are living with dementia at the time of the inspection.
The Orchards accommodates up to 66 people across three separate floors, each of which has separate adapted facilities.
People’s experience of using this service and what we found
People who lived at The Orchards received care from a staff team who all cared about delivering an individual based service. Staff knew each person well. People’s views were respected, and they were involved in everything that happened in the service. People were happy living there and relatives trusted the staff team to look after their family members. One relative said, “I am incredibly relieved that [Family member] has landed at a place where I consistently feel all their emotional needs are being met and stimulation is more than being met.”
Staff understood the risks to people and the measures in place to keep them safe. Systems were in place to manage people's medicines safely and to reduce the risks associated with the spread of infection.
Sufficient numbers of staff were employed to meet people's needs. Staff received training which gave them the necessary skills and knowledge to carry out their roles and meet people’s needs.
Staff delivered care and support that was personalised. Staff were kind, caring and motivated and people, their relatives and external professionals were complimentary about the care provided. Staff respected people’s privacy, dignity and independence and encouraged people to lead their life in the way they wanted to.
People were supported to maintain their health. Staff made referrals to health professionals when required. Staff were kind and caring and had developed good relationships with people using the service. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People had access to food and drink based on their individual choice and preferences. People had access to a range of activities that reflected their specific needs and interests.
Care plans were in place which guided staff to provide support that met people's needs which were in line with their preferences.
Systems ensured that people's risks were well managed, and lessons were learnt when things went wrong. There was an open culture within the service, where people and staff could approach the area manager who acted on concerns raised to make improvements to people's care. A relative told us, “We feel as a family we have done the right thing and [relative] are in exactly the right place. We have a great sense of security and they are exceptionally well cared for.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 9 August 2019 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about medication processes and a number of safeguarding incidents.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.