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Inspection Summary

Overall summary & rating


Updated 27 April 2019

About the service: Orion Care Services provides care and support to people with learning disabilities living in their own home. 34 people were using the service at the time the inspection living across 13 tenancies (projects).

People’s experience of using this service: People told us staff were kind and caring in their approach. People told us staff communicated well with them and acted in an open and transparent way.

Care plans were person-centred and provided staff with the information they needed to provide care and support in a way that met people’s needs and preferences.

Medicines were managed in line with good practice guidance.

Staff assessed risks to people’s health, safety and wellbeing and put plans in place to manage these risks.

People told us they would feel confident to raise any complaints they might have. We saw complaints were identified, investigated and used to improve the service.

There were processes in place to monitor the safety and quality of the service.

One relative said they had concerns about the suitability of staffing on one team and told us that their relative was not encouraged to take part in enough activity. The relative had raised this with the management team who were hoping to work with the team and make improvements.

The service had a registered manager in post at the time of our inspection.

The management team had the knowledge and oversight to operate the service safely and effectively. They demonstrated an understanding of all aspects of managing the service such as safeguarding procedures and medicines management.

People, relatives and staff were engaged by the service via meetings so that everyone could contribute to the development of the service. There was a credible strategy in place with plans for multiple new improvements and updates at the service. This was being implemented by the registered manager who was proactive in considering how the service could be improved.

People, staff and relatives spoke positively about the registered manager and management team who led the service well.

We have made a recommendation about staff training in both mental health awareness and equality and diversity.

The service met the characteristics of Good

Rating at last inspection: At the last inspection the service was rated as Good (15 July 2016).

Why we inspected: This was a scheduled inspection planned to check that the service was providing quality care that was safe, effective, caring, responsive and well-led.

Follow up: We did not identify any concerns at this inspection. Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for services rated Good.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 27 April 2019

The service was safe.

Details are in our Safe findings below.



Updated 27 April 2019

The service was effective.

Details are in our Effective findings below.



Updated 27 April 2019

The service was caring.

Details are in our Caring findings below.



Updated 27 April 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 27 April 2019

The service was well-led.

Details are in our Well-Led findings below.