Orcadia

Updated 16 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by 1 inspector.

Service and service type

Orcadia is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Orcadia is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 10 July 2023 and ended on 19 July 223. We visited the location’s service on 10, 11 and 17 July 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people about the support they received and 6 of their relatives. We spoke to 7 members of staff including the registered manager, deputy manager and support workers. We spoke with 4 healthcare professionals who visited the service. We reviewed 3 staff files in relation to recruitment, 3 people’s care plans and 5 people’s medicines records. We looked at a variety of records relating to the management of the service.

Updated 16 August 2023

About the service

Orcadia is a residential care home providing accommodation and personal care to 9 people at the time of the inspection. The service can support up to 9 people. Orcadia is a detached, adapted building set over three floors.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

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 were able to exercise their choices regarding independence, activities, and day to day decisions. People were supported to achieve meaningful outcomes and advocacy was available to those who needed it. Staff supported people to maintain and improve their independence and relatives and health and social care professionals were actively involved in this process.

Right Care

There was an established staff team who understood the wants, needs and wishes of the people they supported well. People received person-centred care where staff respected and promoted people’s rights and choices. Relatives and professionals praised the staff approach which was described as, “Brilliant” and, “Amazing.” Staff understood the importance of providing care and support which promoted people’s dignity and privacy, and this was observed during the inspection.

Right Culture

The registered manager had instilled a positive and open culture at the service, which placed people at the centre of their care. Relatives and professionals praised the open and transparent attitude which was embedded in the service. Staff felt valued, listened to and were actively engaged in giving feedback to improve the service. Communication between the service and people’s families was effective and relatives praised the positive atmosphere at the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for the service under the previous provider was good, published on 19 Jan 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.