About the service Orchard House is a residential care home providing personal and nursing care for up to 22 people. The service specialises in providing care for adult males who have acquired brain injuries. At the time of inspection there were 21 people living at the home.
People’s experience of using this service and what we found
People received an outstanding, personalised, caring service. People told us they received very kind and respectful support from staff who promoted their abilities, knew them well and genuinely wanted good outcomes for them. Relatives spoke positively about staff and management.
People were safe and were protected by staff who understood their responsibilities and how to keep them safe. People were protected from risks by very detailed, regularly updated risk assessments. Premises and equipment were maintained and serviced regularly. People received their medicines on time and had ready access to healthcare professionals as and when required. The home was well equipped, clean and tidy and good infection control practices were followed.
People had comprehensive care plans which detailed their strengths and promoted their dignity and independence. Their communication needs were assessed and recorded in detail and staff interacted appropriately with people according to their needs. There was a positive collaborative atmosphere and people and staff had good, caring relationships
Care records contained extensive, clear information covering all aspects of people's individualised care and support. 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.
Safe recruitment practices were followed. There were enough staff available to meet people's needs. Staff received comprehensive training to enable them to carry out their roles effectively. The provider encouraged staff to be innovative and empowered them to access additional training and professional development.
Staff were passionate about providing high quality care and supporting people to make progress in their rehabilitation. Staff were happy working for the service and felt well-supported by the management team and colleagues. Staff success was recognised and celebrated. Staff were extremely responsive to people's needs and wishes and provided exceptional person-centred care. People were encouraged and supported to set and achieve goals and ambitions.
People took part in activities they enjoyed and were encouraged to access the community. Visitors were welcomed. People's spiritual and emotional needs were well met by staff. Staff recognised the importance of family relationships in the outcome of people’s rehabilitation.
The home had excellent relationships with health and social care professionals. People were encouraged to be active to help them be healthy. They had a varied diet and ate food they enjoyed.
People and their relatives were involved in the planning and delivery of their care, and regularly asked for feedback which was acted upon when appropriate.
There were systems in place to monitor and improve the quality of the service. When there were problems, the registered manager dealt with them appropriately and worked to reduce the likelihood of recurrence. Staff were supported to be creative in the way they provided support for people and be actively involved in service development.
People, relatives and staff told us the home was extremely well run; the entire management team being open, approachable and focussed on supporting people and staff to achieve their potential.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 27 April 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.