Orchard Court

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 20 people. This is larger than current best practice guidance for learning disability services. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People received safe care, and staff understood safeguarding procedures and how to raise concerns. Risk assessments were in place to manage risks within people's lives, and staff we spoke with felt safe supporting people with a wide range of needs.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.

Medicines were stored and administered safely, and records showed that they were administered correctly.

Staffing support matched the level of assessed needs within the service during our inspection, and staff were trained to support people effectively.

People were supported to eat meals they enjoyed.

Healthcare needs were met, and people had access to health professionals as required. Care plans outlined any support people required to manage their healthcare needs.

People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives. Staff treated people with kindness, dignity and respect and spent time getting to know them. People were supported in the least restrictive way possible.

Care plans reflected peoples' likes, dislikes and preferences. An activities programme was in place, and people were supported to pursue activities they enjoyed with staff support.

A complaints system was in place and used effectively.

The registered manager was keen to ensure people received good care and support and listened to feedback when provided.

Comprehensive investigations took place into accidents, incidents and any events that could be learnt from. Learning was shared with the team and improvements were made when required.

The service applied the majority of the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. Further improvements would include ensuring people are always given choices over all aspects of their care, including improved communication.