Archived: Cherry Orchards Camphill Community

Updated 25 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector

Service and service type:

The service was registered to provide accommodation and personal care to up to six adults with mental health needs. This included caring for people whose rights are restricted under the Mental Health Act, eating disorders, learning disabilities, and substance misuse problems.

The service is a care home . People in care homes receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

What we did:

Before our visit we asked the provider to complete 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 planned to make.

We reviewed the information included in the PIR along with information we held about the service. This included notifications, these provide information about important events which the service is required to send us by law.

After the inspection we received response from four different community mental health professionals who had contact with the service. We reviewed the information they gave us.

Updated 25 April 2019

About the service:

Cherry Orchards is registered to provide accommodation and personal care. Cherry Orchards is a therapeutic community and is part of the Camphill Community. The aim is to help adults recovering from the debilitating effects of any life crisis. This may include mental health or psychological problems, learning difficulties, individuals recovering substance or alcohol misuse.

People’s experience of using this service:

People received safe care. Staff were trained and understood the principles of safeguarding people. This meant they knew how to recognise abuse and how to report it.

Each person had a detailed risk management plan . These were to protect and promote their safety. Accidents and incidents were analysed. This was to find out if there were lessons to be learnt. These were shared with the staff team to reduce the risk of reoccurrence. People's needs and choices were assessed and their care provided in line with their preferences.

There was enough staff at any time to keep people safe. The provider followed thorough recruitment procedures to ensure staff employed were suitable for their role.

People's medicines were managed safely and in accordance with best practice guidance. Staff and people at the service followed the systems that were in place to ensure that everyone was protected by the prevention and control of infection.

Staff were well trained and completed a full induction process when they first commenced work at the service. The team also received ongoing training to ensure they could provide care based on current practice when supporting people.

People were well supported to eat and drink enough. They were very well supported to use and access a variety of other services and professionals in the community.

People were supported to access health appointments when required, including community mental health nurses and doctors.

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 supported this practice. The principles of the Mental Capacity Act (MCA) were followed.

People were supported by staff who were kind and caring. People were encouraged to make decisions about how their care was provided. Staff ensured they protected and promoted people’s privacy and dignity.

People had built up positive relationships with staff who had a good understanding of their needs and wishes. People's needs were identified and plans were in place to meet them. This was with the involvement of the person and or their family members.

People told us how they were encouraged to view themselves and others as part of a community. The community provided them with care and support. There was also access to a range of local facilities. These were relevant to the needs of the people at the services. They included classes and workshops.

People told us how they valued the extensive grounds. They also said they took an active role in growing vegetables. People could decide to what extent they wanted to take part participate in these activities.

People were well supported to be part of the wider community and attend colleges and other social events in the local area. People lived and worked alongside each other and were actively involved in the day to day chores of running a home. People and staff told us this promoted a real sense of community.

Staff promoted and respected people's cultural diversity and lifestyle choices.

Care plans were very personalised and provided staff with in depth guidance about how to support people and meet their preferred outcomes in their day to day life. There were innovative ways to ensure communication was accessible to people in a format that met their needs.

Rating at last inspection:

The service was last inspected in January 2014. This was because it had not been in scope during the last four years. This means the service had not been providing personal care to people. However, it recognised that people’s needs had changed and it was now in scope to be registered and inspected by us.

We inspected the service on 10 February 2019. The inspection was unannounced.Cherry Orchards Camphill Community provide personal care and support to people living within the Cherry Orchards Camphill Community. It is a community setting . There were very spacious gardens with different animals cared for by the community.

At the time of our visit there were two people being supported with personal care in Cherry Orchards Camphill Community. This service provides care and support to people living on the same site so that they can live as independently as possible.

Why we inspected: This was a planned and scheduled comprehensive inspection of the service.