Orchardown Rest Home

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.
At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff knew people extremely well and understood people’s individual personalities, their likes, dislikes and needs and these were fundamental in how a person’s care was provided this meant people received consistent care and support in the way they chose. People’s needs were reviewed and the service worked with other agencies involved in people’s care.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s nutritional needs were met. People were able to choose their meals from the daily menu. Nutritional care plans included relevant information including if a person had any specific dietary needs, allergies, likes and dislikes. People told us they enjoyed their meals, and we saw that people received the meals they chose. A relative told us, “As the home is small they could be flexible with food, so when [relative] said they would like salami, brie or watercress for sandwiches they were able to buy these. People’s weight was measured regularly to ensure that any significant weight changes could be responded to by staff.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked well together and liaised with other health professionals when needed. People were supported to access health and support outside the home, for example people were supported to go to hospital and other health related appointments.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were encouraged to spend their time how they chose. Some people liked to meet up in the lounge area and participate in 1 of the organised activities whilst others preferred to stay in their rooms. We spoke to 1 person who told us they went out daily, they said, “I am looked after here, and I go out when I want to, but if I need anything they are here to help me.” Another told us, “I go out in the garden for a walk or sit outside when the weather is nice. I am able to go out on my own.”

The RM recognised the importance of supporting people’s mental as well as physical health. People were encouraged to maintain links in the community to enable them to meet people outside the home to reduce the effects of loneliness and isolation. A person had recently been supported by the RM to access a group in the community. With encouragement, they had agreed to attend the group and had enjoyed it.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff worked together as a team to support people and to ensure people received their care and support in the way they chose. A relative told us, “Since arriving at the home I cannot fault the care and attention that has been provided for them. I am in no doubt that they are safe and being well looked after.”
 

The provider told people about their rights around consent, however, some improvements were needed to ensure all decisions made were appropriately documented and to demonstrate who had been involved in the decision. For example, for people who had sensors in their rooms to alert staff when they mobilised, a best interest meeting had not been recorded to provide a clear rationale for how the decision had been made, who had been involved, for example, relatives, GPs, an advocate or relevant health professionals. We discussed this with the RM during the inspection and they were able to tell us who had been involved and what discussions had taken place, however, this had not been clearly recorded.

Care was person centred, people were offered choices throughout the day and people told us they felt listened to and their views and opinions were important to staff.