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Inspection Summary


Overall summary & rating

Good

Updated 19 May 2017

The inspection took place on 06 April 2017 and was unannounced. The service was last inspected in January 2016 when it was compliant with the legal requirements at that time.

The Orangery is a care home registered to provide nursing care and accommodation for up to 40 people, some of whom were living with dementia. The home is located in a residential area on the edge of Bath. There were 38 people living there on the day of our visit.

There was a registered manager for the service. 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 were safe in the home and there were systems in place to protect them from abuse and harm. There was enough staff deployed throughout the home to safely meet the needs of the people who lived there. The provider's recruitment procedures helped to minimise the risks of unsuitable staff being employed at the home.

People told us they were cared for by kind staff who they got on well with. People looked relaxed and comfortable in the company of the staff that supported them with their care. Everyone we spoke with praised and spoke highly of the staff that supported them. Staff were observed caring for people effectively and properly meeting their needs. Everyone we spoke with praised and spoke positively of the staff that supported them. Comments included, “The staff are all lovely girls.” “They treat you like part of a family”.

People were supported by a team of suitably trained staff. Nurses went on regular clinical training and updating of their skills. This was to help them know how to provide personal care based on up to date practice.

The staff went on regular training and were developed and supported in their work. This helped the team to improve and develop their skills with people. Staff received supervision which also helped to ensure they were competent in their work. Staff spoke positively about working as a team and the morale that was generally good among them.

People and their relatives had been involved in the planning of their care. The views of people were used to help ensure care was provided in the way people wanted it to be and in a way that met their needs. Feedback about the home from people and others involved in their care was positive. Reviews were undertaken to see where improvements were needed and the service could be further developed. There were systems in place to monitor quality so that people received care that was personalised to their needs.

People knew how to complain and make their views known .The provider sought the views of people and their families about the service. Suggestions were acted upon and changes put in place if needed.

Staff spoke positively of the management structure in the home and the organisation they worked for. They said that the registered manager provided supportive leadership. The staff team told us they were well supported by the registered manager, who spoke positively about their role. Staff said they saw them every day and they were always there and supported them whenever they needed.

Inspection areas

Safe

Good

Updated 19 May 2017

The service remains good

Effective

Good

Updated 19 May 2017

The service remains Good

Caring

Good

Updated 19 May 2017

The service remains Good

Responsive

Good

Updated 19 May 2017

The service remains Good

Well-led

Good

Updated 19 May 2017

The service remains Good