3 & 11 November 2014
During a routine inspection
This inspection was carried out on 03 and 11 November 2014. It was an unannounced inspection and was undertaken by two inspectors. The previous inspection was undertaken on 30 May 2013 and during this inspection we found that all of the regulations we looked at were being met
Chatting Independently-Orchard View is registered to provide accommodation and personal care for up to six people who have physical disabilities. People are accommodated on two floors which are accessed by a lift.
A registered manager was in place. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
During this inspection staff treated people in a way they liked and there were sufficient numbers of staff, although they did not all have the required skills to safely meet people’s needs.
People were not protected from abuse because staff were not clear of the reporting procedures should they have any concerns about people.
People’s needs were not clearly recorded in their plans of care which meant that staff did not have the information they needed to provide care in a consistent way. Care plans were not regularly reviewed to ensure that they accurately reflected people’s current needs.
Most people spoke positively about the quality of food at the home. However, people were not provided with a diet that met their needs. Appropriate risk assessments were not in place in respect of eating and drinking and this put people at an increased risk of choking. People were not always appropriately supported with their eating and drinking at mealtimes.
The provider’s monitoring and audit processes were ineffective and inadequate and had failed to identify issues in the home. Risks to people’s health, safety and welfare were not appropriately assessed and managed.
Staff had not been provided with training opportunities to ensure they had all the required skills to carry out their roles.
There was a lack of an effective quality assurance system in place to monitor the service and ensure people received good quality care.
Our concerns about the safety and welfare of people were so great that we immediately informed the local authority of these concerns. As a result of our concerns the commissioners decided to remove all people from this home on 14 November 2014.
We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.