Orchard Lea

At the last inspection some environmental risks had not been proactively managed in relation to hot water temperatures. We found improvements and action had been taken to address this risk. Personal emergency evacuation plans (PEEPS) had not been reviewed or updated at the last inspection to include all people living at the service. At this inspection PEEPs were all up to date with information to assist people when evacuating the building.

At the last inspection, some staff had not received core training to ensure they worked safely with people. At this inspection we found staff received training and support needed to carry out their role effectively.

Everyone we spoke with said they felt safe. Comments included, "It is very nice here. Everyone is very pleasant" and "Yes, I am safe and happy." People were protected from harm and abuse as staff understood how to report any concerns. Risk assessments were completed and contained strategies to reduce potential harm. Medicines were safely managed.

Staff had enough time to deliver a good standard of care without rushing people. The registered manager followed safe recruitment processes to ensure staff recruited were suitable for their roles.

People's needs were assessed prior to moving to the service to confirm their needs and preferences could be met. People enjoyed the food and there was always a choice.

The service worked well with health care professionals to provide timely care to people to ensure their health was maintained. These included GPs, speech and language therapists; occupational therapist and the mental health team. Feedback from professionals included, "This is one of the better homes we know…" and "We have no concerns whatsoever. They have been brilliant".

The service promoted a positive and inclusive culture for people. People described a happy atmosphere. Comments included, "I think they look after you and accommodate you…I can't think of anything to improve" and "It is first class. I have never seen anything to cause any concern at all".

People using the service and relatives described the registered manager as approachable and all said they would feel confident to raise any issues or concerns. People and their relatives were asked for their views about the care and support provided. Where suggestions were made, action was being taken.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.