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Review carried out on 4 November 2021

During a monthly review of our data

We carried out a review of the data available to us about Orchard End on 4 November 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Orchard End, you can give feedback on this service.

Inspection carried out on 24 July 2018

During a routine inspection

The inspection took place on 24 July 2018 and was unannounced.

Orchard End is a 'care home' which provides accommodation and personal care for up to six people with learning disabilities. At the time of our inspection visit, six people were living at the home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is required to have a registered manager and 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.

At the last inspection on 30 December 2015, the service was rated Good. At this inspection, we found the service remained Good.

Staff received training in, and understood, their responsibility to protect people from harm and abuse. The risks to people had been assessed, reviewed and plans were in place to manage these. Staffing levels at the home enabled staff to safely meet people’s individual needs. People received their medicines safely and as prescribed from trained staff. Staff protected people from the risk of infection.

People's individual care and support needs were assessed prior to them moving into Orchard End, enabling the provider to develop effective care plans. Staff received a range of training and ongoing management support to enable them to work safely and effectively. People had support to eat and drink safely and comfortably, and made choices about their food and drink. People had support to maintain their health and attend routine medical appointments. People were involved in decision-making about changes to the home’s environment. People's rights under the Mental Capacity Act 2005 were promoted by staff and management.

Staff treated people with kindness and compassion. People had support to express their views and participate in decision-making that affected them. People's rights to privacy, dignity and independence were recognised and promoted by staff.

People received person-centred care and support. They were supported to participate in a range of recreational and social activities which they enjoyed. The provider had procedures in place to ensure concerns and complaints were dealt with in a fair and consistent manner.

The registered manager was accessible, approachable and promoted an open and inclusive culture within the service. Staff were motivated, well-supported and clear what was expected of them at work. The provider completed audits and checks to assess, monitor and improve the quality of the service people received.

Further information is in the detailed findings below.

Inspection carried out on 30 December 2015

During a routine inspection

This inspection took place on 30 December 2015 and was announced.

Orchard End provides accommodation and support for up to six people with learning difficulties. Six people were using the service when we inspected.

There is a registered manager in post who was present throughout the inspection. 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 were protected from harm and abuse by staff who knew how to recognise and respond appropriately to concerns. Staff knew how to support people safely and risks associated with people’s care had been assessed to minimise harm. Staff did not start work until checks had been made to make sure they were suitable to support people and keep them safe.

People and those that mattered to them were involved in planning their own care. Staff were provided with up to date information and understood how to support people. People were supported by staff who were caring and compassionate and who treated people with dignity and respect. Staff encouraged people to be as independent as they could.

People were supported to make their own choices and decisions about their care and support. The provider encouraged people to raise any issues and people were confident that action would be taken by the registered manager.

Staff received induction and ongoing training in order for them to provide care. Staff were supported by the registered manager and received regular feedback on performance. The registered manager had systems in place to fully involve people and the staff team in the running of the home. The registered manager was approachable and accessible to people and staff.

People were aware of who the management were and felt they were approachable. People’s views were sought about the quality of the service and people felt their opinions were valued. Regular checks were carried out to monitor and improve the service people received.

Inspection carried out on 24 July 2013

During a routine inspection

The people who lived in this home were unable to communicate verbally.

As we watched we saw the staff were very attentive towards them. We saw that the staff always asked them how they would like things to be done, were always mindful of their privacy and treated them with respect. We saw that staff talked with them as they provided their support.

Staff told us that they felt able to raise any issues with the manager or senior staff should they have any concerns. Staff spoke of their awareness of how to keep people safe from harm. Staff told us about the training that the home had arranged for them to attend so that they would recognise abuse and how to report it.

We saw staff were always available when people needed help.

The provider had developed a system whereby they can monitor how well the home is meeting the needs of the people who live there.

Inspection carried out on 3 January 2013

During a routine inspection

We observed staff interaction with six people who used the service as people were unable to tell us their views. We looked at various records about people, spoke with 10 staff, and two managers. We looked at records about staff and running of the home.

Staff interaction was friendly and patient so that people made choices which were respected. People had regular stimulation and exercise, and privacy in their rooms when they wanted it. Staff checked on their wellbeing. Independence was encouraged and people had individual support at mealtimes.

Families and professionals met with staff to make and review best interest care and treatment decisions. Staff and health specialists monitored health and behaviour. Staff supported people during examinations and hospital stays. There was a safe system to manage and administer medication, and medicines were regularly reviewed by doctors.

There were thorough recruitment checks and ongoing training which made sure staff were safe and fit for their roles. Staffing arrangements had improved since our last inspection so that people had flexible and consistent care.

A relative lost confidence in the complaints system and wanted reassurance about people's safety. We found people well cared for. There was a lack of records to demonstrate the complaints process was always followed. Action was taken after the inspection to formalize how complaints are managed and to reassure the relative.

Inspection carried out on 31 October 2011

During a routine inspection

We found that the preferences and best interests of the people living in the home were being put at the heart of how the service was being run.

People were taking part in daily life tasks and were making choices about activities and how to spend their time. The service aims to increase the choices offered to people in the next year.

People were having their health care needs met and a lot of time was being given to ensuring the right health decisions were being taken for people who were unable to make their own decisions.

People were being supported by a committed staff team who had been trained for their role and who felt well supported by senior staff.

On some occasions there had not been enough support staff to offer people the level of attention they need for their wellbeing or to take part in all their planned activities. The manager and the owners were now taking steps to speed up the recruitment of new staff.

The management of the home has remained stable and checks were being carried out by the owners to help keep standards high.