Our current view of the service
Updated
5 February 2024
Orchid House is a residential care home providing personal care and support for 6 adults. Care is provided to autistic people and people with a learning disability. The service is registered to support up to 6 people and accommodates 5 people in one building and 1 person in a self-contained annexe attached to the building. There were 6 people living at the home when we carried out the assessment. A site visit to gather people’s experiences and observe care practices was carried out on 7 and 9 February 2024. There were 2 Inspectors during the on-site assessment on 7 February 2024 and 1 Inspector and an expert by experience during the on-site assessment on the 9 February 2024. We met 5 people who lived at the home. We also contacted 4 people’s relatives to ask their views following our visit. We gained feedback from 5 staff and the registered manager. We looked at 7 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Assessing needs; Consent to care and treatment; Independence, choice and control and Equity in experiences and outcomes. We assessed these quality statements as Good and the overall rating for the service remains Good.
People's experience of the service
Updated
5 February 2024
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services.
Right Support:
People were not always supported to have maximum choice and control of their lives. Care plans were in place to ensure people received person-centred support, but some staff were not following these plans. People and relatives had been involved in care planning. Comments include "I have been involved in the past, haven't done one for a few years". Records show people have access to activities and events inside and outside the home. Relatives told us family members were supported to work towards goals and the home helps people to maintain their social circle, pursue hobbies and interests.
Right Care:
Some staff communications were not respectful and did not promote people’s dignity and privacy. Relatives told us they felt people were treated with respect and staff listened to people’s choices and preferences. They told us that people have access to healthcare and social support when required.
Right Culture:
People told us they felt their relatives were safe at Orchid House and felt confident that any concerns raised with management would be dealt with appropriately. They told us that they were happy with the way risk was managed in the home; involved in making decisions on how to manage risk and updated when new risks were identified. Relatives told us communication from the home was good and they were kept informed of changes to people’s health and wellbeing. A relative raised concerns about poor maintenance of the home and told us that repairs take a long time.