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Inspection Summary


Overall summary & rating

Good

Updated 18 May 2019

About the service:

Orchard Cottage provides accommodation with personal care to older people, some of whom may be living with dementia. The accommodation is provided over two floors and care is provided for up to 10 people. There were 8 people using the service when we inspected.

People’s experience of using this service:

People told us they felt safe with staff. Comments included, “Yes, I am safe here” and “We are well looked after, it is our home.”

People had good relationships with staff, who were knowledgeable of their physical and emotional needs, as well as likes, dislikes and interests. Staff were responsive to changes in people's health needs. If needed, they sought advice from relevant professionals.

People felt included in planning their care. Care plans were person centred, achieved good outcomes and showed people were offered choice and involved wherever possible.

People’s rights, their dignity and privacy were respected. One relative said, “The staff are very good, we see the same regular staff and are always welcome.”

Staff supported people to maintain a balanced diet and monitor their nutritional health.

Medicines were stored and managed safely by staff and the registered manager. There were policies and procedures in place for the safe administration of medicines. Staff followed these policies and had been trained to administer medicines safely.

People received care from staff who were well supported with induction, training and ongoing supervision.

People knew how to complain and that any concerns would be listened and responded to by the provider. Actions were taken as a response to complaints as appropriate.

Feedback from people and relatives was sought and used to make improvements.

The provider had made changes to improve the service for people. On-going redecoration was planned over the next twelve months.

Quality monitoring systems included audits, checks on staff practice and checks on people's satisfaction with the service they received.

The provider has systems in place to ensure they kept up to date with developments in the sector and changes in the law.

Lessons were learnt and used to make improvements.

The service was led by an experienced, competent manager who understood their role and responsibilities, as did staff. The service had a clear management structure and people had confidence in the manager and provider.

Rating at last inspection: The service was rated as Requires Improvement at the last comprehensive inspection on 24 August 2016. Subsequently a focussed inspection was carried out on 02 March 2017, showing improvements had been made and the Safe domain was rated as Good.

At this inspection, the service met the characteristics of Good in all domains.

Why we inspected: This was a comprehensive inspection scheduled based on the previous rating.

Follow up: We will continue to monitor the service through the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 18 May 2019

The service was Safe

Details are in our Safe findings below.

Effective

Good

Updated 18 May 2019

The service was Effective

Details are in our Effective findings below.

Caring

Good

Updated 18 May 2019

The service was Effective

Details are in our Effective findings below.

Responsive

Good

Updated 18 May 2019

The service was Responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 18 May 2019

The service was Well-led

Details are in our Well-led findings below.