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Orbital 4 Support Limited Good


Inspection carried out on 25 July 2019

During a routine inspection

About the service

Orbital 4 Support Limited is a supported living service providing personal care. There were 13 people receiving support from staff at the time of our inspection.

People’s experience of using this service and what we found

People’s rights were promoted by staff. The registered manager understood how to support people and to guide staff, so decisions could be taken in people’s best interests, where this was appropriate.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and relatives told us staff were considerate and care was provided in a sensitive way, so people’s right to dignity and privacy was met. People enjoyed telling staff about their lives, and staff were interested and attentive. Staff spoke warmly about the people they supported, and assisted people to make their own decisions about their care.

Staff had received training and developed the skills they needed to assist people. People were supported to see health professionals and to have enough to eat and drink, so they remained well.

People’s care needs had been assessed, planned and regularly reviewed. Staff used their knowledge of what was important to people and tailored the support provided so people’s well-being enhanced. People understood how to raise any concerns and complaints and were confident these would be listened to.

Staff had been supported to understand how to care for people at the end of their lives, so their wishes would be respected.

People told us they could rely on staff to provide the care agreed and there were enough staff to provide care at the times they wanted. People were supported by staff who understood the risks to their safety and who supported them to reduce risks, whilst promoting their choices. Staff knew how to identify concerns, such as abuse, or people becoming anxious, and understood how to protect people. The registered manager checked people received safe care.

People and relatives were positive about the way the service was managed. The registered manager sought people's views and experiences as part of their quality assurance processes. Staff were encouraged to reflect on the care provided so improvements to the service would be driven through.

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

Rating at last inspection

The last rating for this service was Good (published 30 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Orbital 4 Support Limited on our website at

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 18 November 2016

During a routine inspection

This inspection took place on 18 and 21 November 2016 and was announced.

The provider registered this service with us to provide personal care and support for people with a range of varying needs including learning disabilities, physical disabilities, sensory impairment and younger adults. At the time of our inspection eight people were using this service.

There was a registered manger in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they 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.

People told us they were asked to consent to their care and were treated with dignity and respect. However where people lacked capacity to make decisions, the provider had not ensured they had acted in accordance with the principles of the Mental Capacity Act within the delivery of the service people received.

People told us they felt safe when they were receiving support whilst living within their own homes. Staff knew how to keep people safe and what risks people may be subject to, whilst maintaining their independence. Staff had been trained and were able to recognise signs of abuse and how to report it in order to keep people safe.

People felt there were sufficient staff available and told us support staff arrived on time at their home to provide the support they needed. Checks were made on staff members prior to them starting work to ensure their suitability for employment.

Staff received training and support to enable them to provide care and support to people. Staff felt supported by the registered manager and provider. People had their privacy and dignity maintained and staff were able to describe how they managed this.

People received appropriate support to ensure they received their medicines as prescribed and received healthcare support and advice to ensure their well-being. People received assistance with the preparation of meals and drinks as required.

People were satisfied with the support they received in a way they wanted to be. People had support plans in place describing their needs and risks associated with their support. Although people’s support needs reflected the support given, and improvements were being made to ensure where people were able to sign their reviews to state they agreed with the contents this was being further promoted.

Support staff told us they enjoyed their work and liked the registered manager and the provider. People and their relatives were confident any complaints made would be listened to and responded to.

Systems were in place to monitor the service provided for people as a means to improve the quality of support people received.