Orchard Place

On this page

• 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 the same. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People and relatives were unsure if they had been involved in care planning and reviews, however we could evidence in care plans people had been part of the process. Daily handovers were completed to share changes in care delivery or any concerns in people’s health and wellbeing. After sharing our feedback, the registered manager proposed an alternative way to engage people in their care plan reviews, to ensure they knew they were part of the process.

Staff planned and delivered people’s care and treatment with them, including what was important and mattered to them. Staff did this in line with legislation and current evidence-based good practice and standards. Risk assessments were in place to help identify risk factors specific to each person, such as manual handling, falls and specific clinical needs. This helped to provide staff with information on how to manage and minimise these risks and provide people's care safely. Care plans held good, detailed information and people’s specific dietary requirements. People told us the quality and quantity of the food was excellent. We observed there were several food choices on offer and where people chose to purchase their own food, staff supported them to prepare it.

Staff worked well across teams and services to support people. People were supported by staff who worked in conjunction with other healthcare professionals. We spoke with 3 visiting healthcare professionals’ during our site visits and all feedback was positive. One healthcare professional told us, “Every time I come, they’ve been really helpful, they know the person really well and always have all of the information needed, absolutely brilliant”. Another healthcare professional said, “They are really good, they always take documentation and photographs for their own systems, they are very responsive and if there are any issues they always let us know”. Leaders told us, “We have a good rapport with our local services, the GP and Advanced Nurse Practitioner (ANP) visit weekly to discuss and review people living at the service.

Staff 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. The service supported people with their choices around unwise decisions which may affect their health. Where people chose to not follow guidance, the registered manager had sought advice from the relevant health professionals, to ensure people fully understood the potential outcomes. Care plans demonstrated people had access to external professionals when required, these included GP’s nurses, dietitians, continence services, chiropodists and Speech and Language Therapists (SALT). One person told us, “I see the GP once a month, they seem to think a lot of staff. If I didn’t feel well id tell the team leader and they would source help for me. The GP is great; I’ve tried different tablets and its enabled me to walk with my frame without pain in my knees”.

Staff 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. Care plans held detailed information about people’s health and wellbeing and were regularly reviewed. Where people had specific healthcare needs and conditions, these were reviewed regularly by the relevant external healthcare professionals.

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff always asked their consent before carrying out any care tasks. We observed people making choices about how they spent their day and what care they chose to be delivered. People were supported in line with the Mental Capacity principles, and there were effective systems in place to support people’s rights and choices. Staff demonstrated a good understanding of the Mental Capacity Act and how to ensure people’s consent was gained. The provider was working within the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty (DOLS).