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Inspection Summary


Overall summary & rating

Good

Updated 10 January 2020

About the service

The Orchard is a care home providing personal care for up to six people with a learning disability and associated complex needs. The service is a large modern detached house in the village of Wistow, a few miles from Selby town centre. At the time of the inspection six people used the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Everyone we spoke with was positive about The Orchard. We observed people and staff had developed good and caring relationships built on trust and mutual respect.

The provider had systems in place to safeguard people from abuse. Staff understood how to keep people safe. They recognised and reported any safeguarding concerns. Risk assessments were in place and medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to mitigate risks.

Staff were recruited safely and had the appropriate skills and knowledge to deliver care and support to people in a person-centred way.

People told us they found the staff supported them to lead fulfilling lives.

Care plans contained relevant information about how to meet people's needs and were regularly reviewed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice.

People were supplied with the information they needed at the right time, were involved in all aspects of their care and were always asked for their consent before staff undertook support tasks. People were treated with kindness and supported to express their opinion wherever possible.

People had access to a varied and balanced diet. Where required, staff monitored people's weights and worked with healthcare professionals to make sure people received medical attention when needed.

People and staff spoke positively about the registered manager. They felt able to raise concerns and were confident these would be addressed. Staff told us they were well supported by the registered manager and senior management team.

Checks of safety and quality were carried out to ensure people were protected from harm. Work took place to support the continuous improvement of the service and the registered manager was keen to make changes that would impact positively on people's lives.

No one was in receipt of end of life care. The registered manager told us they were well supported by health professionals and should the need arise, would make the necessary arrangements to enable people to remain at home at this time.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 30 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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 areas

Safe

Good

Updated 10 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 10 January 2020

The service was well-led.

Details are in our well-led findings below.