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Disabilities Trust - 4 Pages Orchard Outstanding

Inspection Summary

Overall summary & rating


Updated 21 March 2019

About the service:

Disabilities Trust - 4 Pages Orchard is a ‘care home’. This service supported people living with learning disabilities and/or autism and was registered to support up to three people. Three people were being supported at the time of the inspection.

People’s experience of using this service:

The provider has demonstrated they successfully focused on continuous improvement since our last inspection. We found the service met the characteristics of a Good service in safe and effective and improved to an Outstanding service in caring, responsive and well-led domains. We received exceptional feedback on how staff supported people and went the extra mile to get care just right for people.

People were valued and respected as individuals with staff continuously evaluating ways to improve people’s lives. People were at the centre of the service delivery and the provider and staff were passionate and committed providing a high-quality service. Feedback from all relatives reflected staff were very kind, caring and committed. Staff exceeded in recognising what was important to people and ensured individually tailored approach that met people's personal needs, wishes and preferences was delivered.

People received an outstanding service that was tailored to meet their individual needs and delivered to ensure flexibility, choice and continuity of care. The outcomes for people using the service reflected the principles and values of national registration guidance, Registering the Right Support, and were evident in people’s promotion of choice and control, independence and community inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills.

The service ensured that people accessed many interests and activities important to them and staff supported people to attend these which helped reduce social isolation. People were an integral part of the local community

Staff were motivated by and proud of the service. One staff member said, "This place is so friendly and supportive. We support each other in every way". There were high levels of satisfaction and a sense of belonging demonstrated by the team at the service. The emphasis on continuous improvement and ongoing reflective practices meant the provider effectively implemented new ways of care delivery that were based on best practice and innovation.

The service continued to provide safe care to people. Staff had received training in safeguarding adults and understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place, these included completing checks to make sure new staff were safe to work with vulnerable adults. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely and people received their medicines as prescribed.

Rating at last inspection: Good (report published 4 August 2016).

Why we inspected:

This was a planned inspection based on the rating at the last inspection. We found improvements had been made since our last inspection and the service met the characteristics of Good in safe, effective and well led and Outstanding in caring and responsive providing an overall rating of Outstanding.

Follow up:

We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.

More information is in Detailed Findings below.

Inspection areas



Updated 21 March 2019

The service was safe

Details are in our Safe findings below.



Updated 21 March 2019

The service was effective

Details are in our Effective findings below.



Updated 21 March 2019

The service was exceptionally caring.

Details are in our Caring findings below.



Updated 21 March 2019

The service was exceptionally responsive

Details are in our Responsive findings below.



Updated 21 March 2019

The service was exceptionally well-led

Details are in our Well-Led findings below.