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Archived: Orby House

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Inspection report

Date of Inspection: 13 September 2013
Date of Publication: 2 October 2013
Inspection Report published 02 October 2013 PDF | 76.32 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People’s privacy, dignity and independence were respected.

People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

Daily records showed that people who used the service had the opportunity to access the amenities in the local community. On the day of our visit one person had gone to spend the weekend with their family and the other three people went to a supermarket to develop photographs from a holiday that they had recently returned from.

We spoke to three people who used the service. All told us that they were happy living in the home and that food was good. Each person at the home showed us their bedroom which was personalised with things that were important to them. They told us how the manager and staff had helped them to choose the colours for their bedrooms so that they could be decorated how they wanted them to be.

We looked at all four care plans and risk assessments, and spoke with the staff member on duty. The plans contained personalised information and showed that people and their families had been involved in making decisions about their health and social care needs. For example, we saw information about what an individual liked eating and the social and leisure activities they enjoyed participating in.

The staff member told us that people made choices about every aspect of their lives. An example of this was noted as one person had chosen not to join their peers on this year’s annual holiday. Instead, staff from the home liaised with the person's family and organised for them to spend time with them for the duration of the holiday. They explained how they helped to maintain people's independence and choices by taking into account their different preferences. For example, by encouraging and supporting them to participate in daily tasks around the home, choosing the weekly menu and accessing community based activities.

People we spoke with told us that they choose the menus each week and helped compile the shopping list. The staff member showed us how people who lived in the home had opportunities to discuss their needs and wishes at bi-monthly house meetings. This meant that people were able to express their views and were involved in making decisions about their care and treatment.

We saw that people were supported to participate in monthly reviews with their key workers (A key worker is where people using the service are allocated a named member of staff who takes a specific interest in their care and support). Here they discussed their well-being, desires and aspirations, future activities and annual holidays.

The service had taken into account the different needs of people living in the home by ensuring that information was provided in different ways. User friendly formats were used for the activities timetable and other important documentation such as the complaints procedure and the staffing rota. This fostered a more inclusive approach and supported people to independently have a better understanding on what was happening daily without having to rely on staff to give them the information all the time.