We carried out a review of the data available to us about The Orangery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Orangery, you can give feedback on this service.
The Orangery provides extra care housing, which is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. The provider had two buildings in this scheme, the Orangery in Bexhill and Marlborough house in St Leonards. As part of the inspection, we visited the Orangery and contacted people and their relatives at Marlborough house by telephone.
People had their own large flats, with kitchen, lounge, bedroom and bathroom. At the Orangery, flats were situated over four floors, with larger penthouse flats on the top floor. There were several large communal areas and a dining room that people socialised in daily. There were also communal bathrooms with specialised mobility equipment and a hairdressing salon.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
There were 40 flats at Marlborough house and 58 flats at the Orangery. Across both buildings, 66 people were being supported with personal care.
People’s experience of using this service and what we found
We found improvements were needed to people’s care documentation to ensure their current support needs were reflected accurately. However, staff knew people well and so we felt this had minimal impact on people. Although we found improvements were needed to records, people, their relatives and staff were positive about the registered manager and felt the service was well led. One person said, “We are fortunate, the care manager is very good.” Another said, “The registered manager is great, they’re very on the ball.”
The registered manager was passionate about working with others to improve the experiences of people. They were involved in various pilots and projects to improve people’s health and social wellbeing. Staff told us they felt valued by the registered manager and provider. Everyone we spoke to felt the care, housing and catering providers worked well as a team to benefit people.
People and their relatives told us that people were kept safe by supportive staff who understood risks to their wellbeing. Staff had a good understanding of keeping people safe and recognised signs that they could be at risk of abuse. People told us there were always enough staff to keep them safe and to meet their needs. Staff were rarely late to care calls and people knew in advance which staff would be supporting them. Medicines were given safely by trained and competent staff. The registered manager and care manager had good oversight of accidents or incidents and acted to prevent incidents reoccurring.
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 told us they were given choices on a daily basis regarding their care needs.
Staff told us their training gave them the skills and confidence they needed to work effectively with people. One staff member said, “They give us the training we need to be able to do our jobs and then we review it regularly, so we stay up to date.” People were supported by a variety of health and social care professionals to promote their wellbeing, and staff ensured people’s nutrition and hydration needs were also met. People’s needs were assessed and regularly reviewed to ensure they were always receiving the right care and support.
People and their relatives were consistent in their view of staff and told us they were supported in a kind, caring and attentive way. One person said, “Every single carer always asks if there's anything else they can do. They don’t just do what task they’re assigned, they will do extra if I ask.” Another said, “They are very nice, and they are very caring.” People’s views and decisions about their care, were listened to and respected. People told us their privacy, dignity and independence were continuously respected and promoted. One person said, “They respect my dignity. I'm forever telling my family how wonderful they are.”
People told us that staff understood their support needs, preferences and wishes well. This included how they preferred to communicate, and staff used a variety of tools to support with this. People and their relatives knew how to raise concerns and told us when they had, they had been dealt with professionally and within appropriate timescales. People received caring and dignified support at the end of their lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service registered with the Care Quality Commission in April 2019 and this was their first inspection.
Why we inspected
This was a planned comprehensive inspection, following the registration of the location.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.