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Care Services

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The Orchards, Crawley.

The Orchards in Crawley is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults under 65 yrs, learning disabilities and physical disabilities. The last inspection date here was 22nd November 2017

The Orchards is managed by Voyage 1 Limited who are also responsible for 289 other locations

Contact Details:

    Address:
      The Orchards
      49 Three Bridges Road
      Crawley
      RH10 1JJ
      United Kingdom
    Telephone:
      01293619465
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2017-11-22
    Last Published 2017-11-22

Local Authority:

    West Sussex

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

25th October 2017 - During a routine inspection pdf icon

Voyage 1 Ltd is a large registered provider, having 291 registered locations across the country. The Orchards is registered to accommodate up to four people in what is currently an all-male service. The service provides support to people living with learning disabilities or other complex needs who need support with personal care. At the time of our inspection there were four people living at the service, which is set in a modern detached house in a residential area of Crawley.

This inspection took place on 25 October 2017. The service was given short notice of our visit. This was to ensure people would be available to support us with the inspection.

We had previously inspected the service on 19 May 2015, when the service was rated as good in all areas. We found this good practice had been sustained, and the service remains rated as Good.

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. The registered manager was on leave at the time of our inspection so the inspection was carried out with a senior support worker. A regional manager also attended the service to assist us with the inspection. Following the inspection we contacted the registered manager to gather any information they wished to contribute to the inspection process.

The provider and registered manager had clear and well organised systems in place to ensure people received high quality, safe care and support. Systems ensured priorities for improvement were identified and accountability was understood. For example regular audits were carried out of the service from both the registered manager and teams from within the organisation. Any recommendations were included on a consolidated action plan, which was dated to show when actions had been completed or were due to be completed by.

Feedback was obtained and acted upon from people, relatives, staff and healthcare professionals in order to improve the service. Questionnaires were completed annually and people could also give feedback at reviews, or during regular meetings for staff and people living at the home. We saw people interacting freely with staff throughout the inspection.

Risks to people’s health or well-being were robustly assessed and managed, including risks from the environment or in relation to people’s healthcare. We saw risk assessments were being used in a positive way to support people to develop new skills and have new experiences, for example such as using kettles independently or spending time without direct staff supervision. Incidents were analysed to identify trends and prevent re-occurrences.

There were sufficient staff on duty to meet people’s needs, and staff were recruited safely. The service ensured there was a full staff recruitment process undertaken, including disclosure and barring service (police) checks. People living at The Orchards had sufficient staff to help them follow their chosen activities as indicated in their care plans. For example on the day of the inspection people went swimming, shopping, attended a work placement and went to a local garden centre.

People received their medicines safely, and with support to help them understand why this was needed if appropriate. One person’s prescription needed clarification by the prescribing GP and senior staff agreed to request this.

Staff had built positive relationships with people and their families. People’s wishes were respected and staff supported them to develop new skills and have new experiences. Plans included people’s goals and aspirations for their future. People had a say in making choices, for example about holidays they wanted to go on or activities they wished to take part in. People

19th May 2015 - During a routine inspection pdf icon

The inspection took place on 19 May 2015 and was announced.

The Orchards is a small care home registered to accommodate up to four people with a learning disability and/or other complex needs. There were four people living at the service at the time of our inspection. The Orchards is a modern, detached house situated on the outskirts of Crawley town centre. It has a rear garden, communal dining area, sitting room and kitchen. All bedrooms have either en-suite facilities or a bathroom next door. All areas are easily accessible to people living at the service. There is a local bus service into town and people can also receive lifts from staff via a fleet car.

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.

People felt safe living at the service and were looked after by staff who had been trained in safeguarding adults at risk. Staff knew what action to take if they suspected abuse was taking place. New staff were checked to ensure they were safe to work at the service. However, if concerns were raised following a Disclosure and Barring Service check, the registered manager had not always risk assessed or had discussions with new staff to ensure they were safe to work with adults at risk. Medicines were generally managed safely, however, a bottle of Paracetamol was still in use which was beyond its ‘use by’ date. Risks to people were generally identified, assessed and managed safely. There were sufficient numbers of staff on duty at all times to keep people safe.

Staff received all essential training and were encouraged to undertake a level 2 qualification in health and social care. They had monthly supervision meetings and annual appraisals. Staff understood the requirements of the Mental Capacity Act (MCA) 2005 and the associated legislation under Deprivation of Liberty Safeguards (DoLS). They put this into practice. People were encouraged to prepare and cook their own meals and were involved in choosing main meals for the week ahead. People had access to healthcare professionals and all their appointments were recorded in a diary. Staff were on hand to support people to attend their healthcare appointments.

People were cared for by kind, caring and understanding staff. The service had a homely atmosphere. People had their own keyworkers with whom they could discuss any aspect of their care. They were supported to express their views and make decisions. People’s privacy and dignity were promoted and they were treated with respect by staff. They were encouraged to be as independent as possible

Care plans provided staff with comprehensive information about people, and, how they wished to be supported. Daily records were kept for each person and staff completed information in an individual diary. People could choose the activities they wanted to participate in and staff planned these activities for them. Some people volunteered at local charity shops. People maintained close contact with their families and others who mattered to them. Complaints were dealt with promptly and in a timely fashion.

People were actively involved in developing the service. Regular service users’ meetings took place and people were asked for their feedback about the service through these and through regular meetings with their keyworkers. Friends and family were also asked for their views. Staff were supported to question practice and were encouraged to make suggestions about the service to the registered manager. Where possible, these were put into practice. The provider undertook audits of the quality of the care provided by the service and how they met their registration requirements in line with legislation. The service had good links with the community and other stakeholders. A newsletter was produced and circulated to inform families and external stakeholders about the service.

 

 

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