Archived: Rose Orchard

Updated 18 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.

This inspection completed on 19 July 2018 was unannounced, which means the staff did not know we were coming. The inspection included speaking with people, relatives, staff and external health and social care professionals. We reviewed care records and policies and procedures. The inspection team consisted of one inspector.

We reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us by law. We contacted the Local Authority, Clinical Commissioning Group and Healthwatch to understand if they had any relevant information to share with us.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with one person who used the service and one relative. We spoke with two support workers, the assistant manager and the registered manager. We looked at aspects of two people’s care and medication records. We also looked at recruitment records for two staff, staff meeting minutes, the providers audit and survey results from family and healthcare professionals.

Updated 18 August 2018

Rose Orchard is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Rose Orchard accommodates five people in one adapted building. There were five people living in the home on the day of inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This inspection took place 19 July 2018 and was unannounced. We gave the provider 48 hours’ notice of the inspection visit because we needed to be sure someone was available.

Rose Orchard has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People continued to be kept safe from staff who had the understanding in how to protect them from harm. Staff had identified potential risks to people and had put plans in place to support the person to reduce the risk without taking away people’s right to make decisions about their care. There were enough staff with the right skill mix to support people’s care needs. People were supported with their medicines in a safe way. Staff understood the importance of reducing the risk of infection to keep people safe.

People continued to have their care and support needs effectively met. Assessments and reviews of care were done regularly and alongside external healthcare professionals. People were supported to with their nutrition and hydration in a way which kept them well and healthy by staff who were competent to do so. 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 support this practice.

Staff treated people in a kind and considerate manner. People were treated with respect and their dignity and privacy was maintained. Staff helped people to make choices about their care and the views and decisions they had made about their care were listened and acted upon.

People received personalised care which met their needs in a timely way. People were supported to continue with their hobbies and interests which was in line with their preferences. The provider had a complaints process that was shared with those who used the service. The provider had not received any complaints about the service provision.

People and their relatives were happy with the way the service was run. The registered manager worked alongside their staff team to ensure they were working within the providers values. The culture of the service was an open and transparent. People and relatives were listened to and had the opportunity to raise their suggestions and ideas about how the service was run. Staff worked well as a team and were supported by the provider to carry out their roles and responsibilities effectively, through training and regular contact with the registered manager. Staff felt involved in the service and said they felt able to share their ideas about the way in which the service was run. We found checks the registered manager and the provider completed focused upon the experiences of people to make sure there was a focus on continuous development.