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The Orchard Trust Domiciliary Care Agency Good

We are carrying out a review of quality at The Orchard Trust Domiciliary Care Agency. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating


Updated 4 October 2016

This was an unannounced inspection which took place over two days on the 13 and 14 September 2016. Orchard Trust Domiciliary Care Agency provides personal care for people with a learning disability living in their own homes in Gloucestershire. At the time of the inspection ten people were receiving shared care living together in two houses in Lydney.

There was a registered manager in post. 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People received a service which was highly individualised reflecting their personal wishes, aspirations and routines important to them. They had been fully involved in all aspects of their care and support. People had been involved in developing their care records and reviewed them with staff making sure they continued to keep up to date with their changing needs. They had copies of easy to read care plans and other information had been made available to them in formats appropriate to their needs using photographs and pictures. People were supported to be independent around their home and in their local communities. They were helped to gain skills to live independent lifestyles whether managing their own medicines, cooking, cleaning or gaining the confidence to try other types of care and support. People’s days were busy doing meaningful activities of their choice.

People were supported by staff who had been through robust recruitment procedures ensuring all checks had been completed before they started working without supervision. People had been involved in the recruitment of staff. There were enough staff employed to meet people’s needs and to provide flexible cover which reflected people’s lifestyles. Staff had a good understanding of people’s needs. They were responsive to accidents and incidents making sure people had access to health care professionals if needed to keep them safe and well. Staff encouraged people to make decisions and choices about their day to day lives. If decisions needed to be made in people’s best interest this had been done in line with the recommendations of the Mental Capacity Act 2005.

People’s views and those of their relatives, staff and professionals involved in their care were sought as part of the quality assurance process. Feedback included, “Excellent service”, “Staff are very supportive and caring” and “People have a fantastic lifestyle.” The provider had systems in place to monitor and audit people’s experience of their care and support. Staff said the management team were open, accessible and very supportive. Managers and representatives of the provider attended local networks ensuring they kept up to date with best practice and changes in legislation.

Inspection areas



Updated 4 October 2016

The service was safe. People’s rights were upheld and they were guided about how to stay safe in their homes and local communities.

Any hazards people faced had been discussed with them and risk assessments outlined how these had been reduced to keep them safe.

People were supported flexibly by staff to enable them to live their lives the way they wished. Staff had been through a robust recruitment process which involved being interviewed by people using the service.

People managed their medicines with the support of staff.



Updated 4 October 2016

The service was effective. People were supported by staff who had access to training and individual support to develop their skills and knowledge.

People’s consent was sought in line with the essence of the Mental Capacity Act 2005.

People were advised about healthy eating and supported when they had special dietary requirements.

People were helped to stay healthy and well. They had access to a range of health care professionals.



Updated 4 October 2016

The service was caring. People have positive relationships with staff who engage with them with kindness, respect and care. Staff offer reassurance when needed and promoted effective communication with people.

People were actively involved in talking about their care needs and developing their care plans.

People were supported to be independent in their day to day lives and gain the confidence to do more for themselves.



Updated 4 October 2016

The service was responsive. People’s care reflected their individual needs, their likes and dislikes and routines which were really important to them. Any changes in their health and well-being were responded to quickly.

People led fulfilling lifestyles with access to a range of meaningful activities.

People had access to a complaint process, they were listened to and were able to talk about any issues as they arose.



Updated 4 October 2016

The service was well-led. People benefitted from the service having an open and accessible management who supported the staff team.

People were able to express their views about their experiences of their care and support. The visions and values of the service were understood and promoted by staff.

Quality assurance processes were in place to assess the quality of care provided and to maintain the high standards of care they strived to provide.