Orchard Court Residential Home Limited

Orchard Court is registered to provide care and accommodation for a maximum of 34 people, some of whom may be living with dementia. There is a house and single storey flats in the grounds. The service is situated close to Brigg town centre.

The service has a registered manager. 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.

This inspection took place on 20 September 2018, it was unannounced.

At the last inspection on 2 April 2016, the service was rated good. At this inspection, we found the service had improved to outstanding. The reasons why responsive and well-led have been rated outstanding are summarised below.

During this inspection, we found multiple examples to demonstrate the staff and management team were passionate about providing an innovative, excellent service.

High quality person-centred care and support was provided to people. Staff were extremely knowledgeable about people's needs and they delivered high quality holistic care to people to ensure their needs were met.

Staff were extremely attentive and went the extra mile to ensure people's lives were fulfilling and meaningful. Staff were dedicated and made sure people maintained their hobbies and interests.

People were supported by a highly motivated staff team who went out of their way to respond to people's emotional needs.

The provider and registered manager were passionate about delivering an outstanding service to people. The providers ethos and values had been enhanced to make sure the service excelled and was inclusive of all parties. This ensured people living at the service, their relatives and staff and nurtured and involved.

Exhaustive quality assurance procedures were in place to assess the quality of the service provided and maintain people's welfare and safety.

The provider and registered manager valued the staff team immensely and supported them, they in turn,

valued and supported the service. Staff went the extra mile to make sure people living at the service were supported to engage in outstanding activities to promote their social inclusion.

Individualised end of life care was promoted to a high degree at the service. The registered manager and staff came in whilst off duty to sit with people and provide support to them and their relatives during those times.

Staff understood their responsibilities to protect people from harm and abuse. Accidents and incidents were monitored. Robust recruitment processes were in place. Infection control was maintained.

Staffing levels provided meet people's needs and they remained under review by the management team. Staff undertook training and supervision to maintain and develop their skills.

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

Staff treated people with compassion and supported them in a kind, caring way. People's privacy and dignity was respected. Advocates were available locally to help people raise their views.

People's dietary needs were met. The food served looked appetising and nutritious. People who required monitoring of their dietary needs had this in place. Staff contacted health care professionals for help and advice if they had concerns and acted on the advice received.

The five questions we ask about services and what we found