About the serviceOrchid is a residential care home providing personal care without nursing for up to four people with learning disabilities. At the time of inspection, three people were using the service. The service is set on one level with large gardens in a residential area.
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 and what we found
A relative told us, “The staff go out of their way to meet [person's name] needs. They can do what they want as long as they are not at risk, the staff make sure they are safe. I always get lots of photographs sent to me of the activities and see how much of a good time they are having.”
Care and treatment were planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. Staff had received appropriate training. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. People's Medicine was dispensed by staff who had received training to do so.
The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. 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.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required. The environment was well maintained and suitable for people.
Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff promoted people’s independence through encouraging and supporting people to make informed choices.
People and their relatives and advocates were involved in the planning and review of their care. Care plans were reviewed on a regular basis. People were supported to follow their interests and participate in social activities. The registered manager responded to complaints received in a timely manner. People were supported to make plans for the end of their life.
The registered manager had systems in place to monitor and provide good care and these were reviewed on a regular basis.
Rating at last inspection The last rating for this service was Good (last report published 10 May2017).
Why we inspected
This was a comprehensive inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Orchid on our website at www.cqc.org.uk.