- Care home
HF Trust - Orchard View
Report from 8 February 2024 assessment
Contents
Ratings
Our view of the service
HF Trust - Orchard View is a residential care home providing accommodation for persons who require personal care and have a diagnosis of a learning disability and/or autism. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements. This assessment was completed on 28 February and 29 February 2024 and was carried out to follow up on action we told the provider to take at the last inspection and to ensure the provider had met the requirements of the warning notice we previously served. During this assessment we found improvements had been made and the provider was no longer in breach of the regulations. We only looked at 11 quality statements which included the management of risk, medicines, safeguarding, person-centred care and good governance. We will assess the other quality statements in future assessments. The provider's systems and processes safeguarded people from the risk of abuse. Medicines were managed safely and people received their medicines as prescribed. People's individual risks related to their health and well-being had been identified, assessed and were managed safely. People received person-centred care from a staff team who knew people well. Staff understood the importance of ensuring people lived the lives they wanted to and involved people and their relatives in all aspects of their care and support. The provider had restructured the senior leadership team to enable a more effective governance and oversight structure. Regular audits and checks were completed to ensure continuous improvement. There continued to be no registered manager in post. The manager told us they had applied to register with CQC, but was unable to provide evidence of this.
People's experience of this service
Some people living at the service were unable to speak with us. We spent time observing staff interactions with people and spoke with 4 relatives. People appeared comfortable in the presence of staff and staff knew people well. Relatives told us they had no concerns over people's safety and felt people were protected from the risk of abuse. One relative told us, "In the past we could tell when something was not right through their behaviour. There is no indication at all they are unhappy now. We visited a few weeks ago. They looked happy and well cared for. Staff were very attentive." Another relative told us, "Staff do a remarkable job quite honestly. I do not worry about their safety. I think [person] is very safe. Staff take a lot of precautions to make sure they are safe. I have never had concerns about that." Relatives spoke about the improvements over the past 12 months. People were now encouraged to live fulfilling lives and pursue hobbies and interests important to them. During our assessment we saw people taking part in a range of activities both in their home and their local community. Staff also respected when people chose not do activities and wanted a more relaxing day. One relative told us, "I am confident now they get their allocated hours in the home. I am certain this is taking place where it wasn’t before. [Person] is getting out now a lot more." Relatives felt involved with people's care and support. Relatives told us even when they couldn't visit regularly, staff continued to involve them by asking their views about people's care and support needs. One relative commented, "I feel involved with [person's] care. When I air an opinion, I am listened to."