The Orchards Residential Care Home

The Orchards accommodates 13 people in one adapted building. There are two communal lounges, a dining area, and a garden people can access.

Staffing levels required review to ensure they were meeting the changing needs of people using the service. Following the inspection, the registered manager confirmed they would increase staffing across the day.

People were supported by staff who had completed training to give them the skills and knowledge they needed to meet their needs. People were supported to have sufficient amounts to eat and drink and were protected against the risk of poor nutrition. However, improvement was required in how staff documented people's dietary intake, particularly where people needed to gain weight.

Staff supported people to maintain their health and well-being. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. However, some care records did not contain a mental capacity assessment and best interests decision where applications to deprive people of their liberty had been made.

Staff treated people in a kind and caring way. People and relatives valued the service and the support the staff provided. Staff treated people with respect and helped them to maintain their independence and dignity.

Care records contained some inaccurate or contradictory information, but these were being reviewed promptly by the registered manager. People and relatives were confident to raise concerns and complaints, and these were listened to. Activity provision was provided by care staff, and people living in the service were satisfied with this.

There were governance systems in place which included quality audits, however, some had not identified the issues we found. More regular monitoring and auditing of people's care records was required by the registered manager, so they can assure themselves that people's needs are being met. People, relatives and

staff were given the opportunity to feedback on their experience of the service.