Archived: Orchard Court

Updated 19 February 2016

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.

The inspection took place on 12 January 2016 and was unannounced. There were three inspectors that undertook the inspection.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information that we held about the service to inform and plan our inspection. This included statutory notifications that the provider had sent to us. A statutory notification is important information about events that the provider must send to us as required in law.

We spoke with one person who used the service and four relatives. We also spoke with the registered manager, the area manager and five care staff. Observations of people receiving support from staff were also undertaken.

We looked at the care records of three people who used the service and other documentation to see how the service was managed. This included a range of policies and procedures, quality checks that the registered manager had carried out and medicines management. We also viewed three staff files to check recruitment processes and the support staff had received.

Updated 19 February 2016

We inspected the service on 12 January 2016 and the visit was unannounced.

Orchard Court provides accommodation for up to 20 adults. At the time of our inspection 17 people were using the service. The home specialises in supporting people with learning disabilities, autism and physical disabilities. The service is provided on the ground floor and has been separated into three areas, each with their own kitchenette, bedrooms and bathroom. The home has a large garden and is accessible for people to use.

It is a requirement that the home has a registered manager. 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 our inspection there was a registered manager in place.

People told us that they felt safe and staff knew how to report any concerns. The registered manager had considered risks to people and had put in place measures to reduce these wherever possible. For example, where someone had epilepsy, there were clear instructions for staff to follow. People’s equipment and the premises were checked regularly to keep people safe.

The provider had a plan to keep people safe during emergencies. Accidents and incidents were being analysed to try to reduce them.

There were enough staff to meet the needs of people and to keep them safe. The provider had checked new staff to make sure that they were appropriate to work with adults with learning disabilities.

We saw that people received their medicines as prescribed. Medicines were only being handled by staff that were assessed as being competent to do so.

People received support from staff who had received regular training. For example, staff had received training in learning disability awareness and supporting people’s behaviour that could challenge. Staff received on-going support from the registered manager.

Staff understood and knew their responsibilities in relation to the Mental Capacity Act and the Deprivation of Liberty Safeguards. People had been supported to make decisions for themselves and where they could not, the provider had followed the legislation.

There was food and drink available that people enjoyed. Where people were at risk of not having enough to eat and drink, there were plans in place to address this.

People had access to a range of healthcare professionals such as their GP and community nurses. We saw that people were supported to maintain good health.

People found the staff members to be caring. During our visit we saw people smiling and responding well to staff. People were being supported to be independent. For example, we saw that people were supported to do their own laundry.

People communicated in different ways and staff knew about these. We saw staff communicating with people using different techniques and styles.

Staff were aware of people’s interests and life histories. We saw that people’s bedrooms were personalised with things that mattered to them.

Where possible, staff were working to involve people in making their own choices. This was done in an individual way and staff understood how to support people with this

People were being treated with dignity and respect. Where staff were sharing information about people, this was done in a discreet and sensitive way. We saw that records relating to people’s support were kept secure.

People received support based on their interests and preferences. Where people could not be part of the assessment of their own needs, relatives had contributed to reviews of their family members’ support.

People were undertaking activities that they were interested in. For example, people were accessing the local shops.

People and relatives knew how to complain and the registered manager had resolved any concerns that had been raised.

Staff were supported by the registered manager. There were opportunities for staff members to offer suggestions for improvement to the support offered to people.

The provider had sought to gain the feedback of relatives about the quality of care offered to people. There were also regular audits to check that people received care and support that was of a high standard. The registered manager had put action plans in place where things needed to change.

Staff members and the registered manager were aware of their roles and responsibilities. Where necessary, the registered manager had notified the relevant authorities about important incidents.