Orchard Gardens

Pre-admission assessments ensured the provider could meet people's needs before they moved to the service and assessments looked at people holistically. People received appropriate support to eat and drink enough and most of the feedback we received about meals was positive. Staff were well supported through supervision and a comprehensive package of induction and ongoing training. The premises were purpose built and the registered manager was working to make them more dementia friendly in appearance. 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.

People were supported in a person-centred way and their needs associated with the protected characteristics of the Equality Act 2010 were met. People were supported to make choices and be involved in decisions about their care to the extent of their ability and regular care plan reviews ensured that care delivery was as the person wanted it to be. People were treated with respect by staff and supported to maintain their current level of skills.

Peoples care records had extensive information about their life histories and each person had a memory box on the wall outside of their room. There was a busy activities programme, and people were encouraged to join sessions that stimulated both their mind and kept the physically active. There was a complaints policy and we saw that procedures were followed when dealing with complaints about the service so that a positive outcome was achieved. The provider had resources available to ensure that they met the Accessible Information Standard. The registered manager was proud of the end of life care delivered by the service. Staff had recently completed training in end of life care and were developing end of life plans with people.

There was a positive, open culture at the service, people and staff were happy to speak with us. Regular

audits and an ongoing action plan ensured the service was continually improving. The registered manager had forged positive working relationships with local health and social care providers and worked in partnership with them.