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Inspection Summary


Overall summary & rating

Good

Updated 2 August 2017

Orchardown Rest Home provides residential care for up to 17 older people. People required a range of help and support in relation to living with memory loss, dementia and personal care needs. Most people living at Orchardown Rest Home were independently mobile, some with the use of mobility equipment and required only minimal support and prompting from staff. There were 14 people living at the home at the time of the inspection.

We carried out an inspection at Orchardown Rest Home in May 2016 where we found the provider had not met Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider had not ensured that people’s safety and welfare had been assessed and reviewed. Accurate, contemporaneous records had not been maintained in relation to peoples care and welfare. An action plan was submitted by the provider that detailed how they would meet the legal requirements. At this inspection we found improvements had been made and the provider was now meeting the regulations. We have made a recommendation about improving communication between the home and relatives.

Orchardown Rest Home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The registered manager was in day to day charge of the home, supported by a deputy manager and registered provider. People were aware who the manager was and felt able to talk to them or raise any concerns with them. People felt that they would speak to any of the staff if they were concerned about anything and this would be responded to. There was a complaints procedure displayed in the main entrance area. There were no on-going complaints at the time of the inspection.

A new care plan format had been introduced. Care records and documentation was more person centred and included information regarding peoples specific health needs. Care plans had associated risk assessments in place to ensure staff had a good understanding of the risks associated with the people they looked after. Medicines processes had been improved and people received their medicines safely. People enjoyed the meals provided and information was in place to ensure people’s nutritional needs were met. Referrals had taken place when issues had been identified for example nutritional or falls. Information received from other health professionals had been included in care documentation to inform staff.

There were systems in place to assess and monitor the quality of service provided. A new auditing system had been introduced with further audits and quality assurance planned. Audits were being used to identify actions needed and these were being reviewed and responded to ensure improvements were maintained. There was on-going maintenance and servicing to all systems and equipment within the home. Accidents, incidents and falls were recorded and reviewed. The registered manager was aware of how to report safeguarding concerns. Staff had safeguarding training and understood their responsibilities to ensure peoples safety was assured at all times.

Staff were working with the registered manager to continually improve systems and processes to ensure people received the best care possible.

Staff and people living at the home felt that staffing levels were appropriate. Staff responded to people’s needs promptly and call bells were answered in a timely manner. Recruitment records demonstrated there were systems in place to ensure staff were suitable to work at the home. Staff received the training and support they needed to enable them to meet people’s needs. WE saw documentation which showed that further training was being planned to ensure staff had knowledge and un

Inspection areas

Safe

Good

Updated 2 August 2017

Orchardown Rest Home was safe and was meeting all the legal requirements that were previously in breach. However some areas required time to become fully embedded into everyday practice.

Risk assessments were in place to ensure staff had a good understanding of the risks associated with the people they looked after.

There were systems in place to manage people’s medicines safely.

There was on-going maintenance and servicing.

Staff and people living at the home felt that staffing levels were appropriate.

Accidents, incidents and falls were recorded and reviewed. The registered manager was aware of how to report concerns. Staff had safeguarding training.

Recruitment records demonstrated there were systems in place to ensure staff were suitable to work at the home.

Effective

Good

Updated 2 August 2017

Orchardown Rest Home was effective.

The registered manager understood their responsibilities in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People felt involved in choices and decisions about how they received care.

Staff received the training and support they needed to enable them to meet people’s needs.

People enjoyed the meals provided and information was in place to ensure people’s nutritional needs were met.

Caring

Good

Updated 2 August 2017

Orchardown Rest Home was caring.

People were supported by staff who were patient, kind and caring.

Staff respected people's dignity and right to privacy. Records were kept confidentially.

Staff ensuring people were supported to make their own decisions and choices.

Responsive

Good

Updated 2 August 2017

Orchardown Rest Home was responsive.

People received care which was person centred and supported care needs.

Staff had a good understanding of providing person-centred care and they knew people well.

People were supported to engage in activities.

There was a complaints procedure displayed, people told us they would be happy to raise concerns if needed.

Well-led

Good

Updated 2 August 2017

Orchardown Rest Home was well-led and was meeting the legal requirement that were previously in breach. However some areas required time to become fully embedded into everyday practice.

There were systems in place to assess and monitor the quality of service provided.

Care records and documentation was more person centred and included information regarding peoples specific health needs.

Staff were working with the registered manager to continually improve systems and processes to ensure people received the best care possible.