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Inspection Summary


Overall summary & rating

Good

Updated 30 December 2017

Orchard Place is located in Ledbury, Herefordshire. The service provides accommodation and care for up to ten older people. On the day of our inspection, there were ten people living at the home.

The inspection took place on 23 November 2017 and was unannounced.

There was a registered manager at this home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered providers and registered managers 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 our previous inspection on 29 May 2015, we found the service was 'Good' overall, but 'Requires Improvement' in the key question of Effective. At this inspection, we found the service remained 'Good' overall, but 'Requires Improvement' in the key question of Safe.

Medicines had not always been administered in accordance with the prescriber's instructions.

There continued to sufficient staff to meet people's safety needs, as well as their emotional and wellbeing needs. Risk assessments were in place, which set out how to care for each individual safely, and these were adhered to. Measures were in place to reduce the risk of infection.

There was an understanding amongst the staff team of their responsibilities under the Mental Capacity Act. There was an understanding of capacity, and of people's right to make decisions which may appear to be unwise.

People continued to be supported to access a range of different healthcare professionals and services. Changes in people's health and wellbeing were recognised and responded to.

People were encouraged to provide feedback about the service and about any improvements or changes they wanted to see made. This included speaking directly with the provider and arranging to meet with them.

People were able to enjoy their individual hobbies and interests, as well as to try new social and leisure opportunities,

People continued to benefit from respectful and positive relationships with staff, with staff knowing people well and understanding their individual routines and preferences.

There continued to be an inclusive and happy environment within the home. People were involved in the running of the home, as much as possible. Links had been developed with the local community for the benefit of people living in the home.

Inspection areas

Safe

Requires improvement

Updated 30 December 2017

The service was not always safe.

People had not always received their medicines as directed by the prescriber.

There were enough staff to safely meet people's needs. People were protected from harm and abuse.

Effective

Good

Updated 30 December 2017

The service was effective.

People's health was promoted. People enjoyed a choice of meals, as well as being able to ask for meals of their choosing.

Staff received ongoing and relevant training to enable them to meet people's needs.

Caring

Good

Updated 30 December 2017

The service remains Good.

Responsive

Good

Updated 30 December 2017

The service remains Good.

Well-led

Good

Updated 30 December 2017

The service remains Good.