Orchard View

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

The service was effective and has been rated good. The provider had effective systems and processes in place to recognise people's changing health and care needs and act on these in a timely manner to keep people safe. People and relatives were involved in care planning and reviews. Staff told us how important it was for them to support people to live their lives as independently as possible. Staff told us they took time to speak with people and get to know them, this was something we observed during the assessment. Visiting professionals gave feedback in relation to positive relationships between staff and people. One visiting professional said, "I have always found communication from the care home to be very good and they keep me updated on day-to-day issues." Staff had received training around the Mental Capacity Act 2005 (MCA) and associated code of practice. Staff understood the requirements of the MCA and appropriately applied for deprivation of liberty safeguards (DoLS). They completed capacity assessments and held ‘Best Interests’ meetings with multidisciplinary teams, as needed.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s care and support needs were assessed, and they received care in line with these. People and their relatives were involved in care planning and risk assessments, this ensured people’s opinions and desires were being met wherever possible.

There were effective systems in place to assess and monitor people’s needs. The manger told us there were regular handover meetings between staff, so everyone had a clear understanding of the support people needed.

Processes were in place to assess people’s needs. Care plans were detailed and robust, they included specialist advice and guidance on how best to support people and these were reviewed on a regular basis. Staff also used a range of tools to ensure people’s medical and nutritional needs were met. Records included information about any need to use the Mental Capacity Act such as whether people lacked capacity to make decisions

People received care and support in line with recognised best practice. People’s nutrition and hydration needs were met.

Staff completed training in relevant areas, such as nutrition and hydration, to ensure they could meet people’s needs safely and competently. Staff and management were aware of people’s preferences and things that were important to them. Staff told us they felt confident in delivering care to people and our observations supported this.

Processes were in place to ensure appropriate support was provided to people. People’s needs were assessed before they came to use the service. The management team would only provide support to people when they were confident staff could meet their needs. The assessments and care plans included information about communication, allergies, medical background, weight, dietary needs, mobility, memory and cognition.

Thank you for your comments, which have been carefully considered. We have reviewed our inspection notes and findings and have amended the report to state: We received positive feedback from relatives and professionals in relation to how staff and teams were working together.

Staff worked in partnership with health care professionals to provide the effective care. There was regular contact with people’s GPs and mental health teams where necessary. Staff told us communication was effective and they followed advice from healthcare professionals and felt comfortable seeking guidance whenever necessary.

People were supported to access other healthcare professionals and services. Staff accompanied people and arranged visits to hospitals and appointments with GPs when required. One healthcare professional told us, “There have been a number of safeguarding concerns, all have been dealt with effectively; reported to me in a timely way and reported into the safeguarding team.”

Processes were in place which supported staff to work together and alongside other professionals to meet people’s needs. Care records clearly detailed people’s health needs and how staff were to support them. They also set out how to encourage people to maintain their well-being and independence.

People were encouraged to maintain a balanced diet. Staff monitored people’s food and fluid intake and if there were any concerns, specialist advice was sought. People and relatives told us staff provided support to access wider healthcare.

An activity board that had been recently introduced to support ideas for at home activities that kept people active. Staff engaged people to help create menus in advance of meal preparation.

Processes supported people to be involved in the management of their health, care and well-being. People's healthcare needs were met. Care records clearly detailed people’s health needs and how staff were to support them. They also set out how to encourage people to maintain their well-being and independence.

We did not receive any feedback in relation to monitoring and improving outcomes.

Staff and management told us people’s outcomes were monitored via daily records and observations. Regular audits were completed to ensure any improvements could be implemented and people’s outcomes were discussed during handover and staff meetings.

Processes were in place to include people in the regular monitoring of their care and support. There was a focus on using feedback to continuously improve people’s care.

People were supported by staff who sought their consent before providing care and support.

Staff and the management team understood people’s capacity and the need to obtain consent wherever possible. The manager told us some people living at the home were subject to a DoLS. Staff were working within the principles of the MCA and knew how to support people and their decisions.

Processes were in place to ensure staff understood and followed the principles of MCA and DoLS. People’s records included information on their preferred communication style and included a capacity and consent care plan which detailed the actions to follow should there be any concerns in relation to understanding.