Updated 9 March 2022
The inspection
This was a focussed inspection to check whether the provider had met the requirements of Warning Notices in relation to Regulations 12 (Safe care and treatment) and 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. 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 included checking the provider was meeting COVID-19 vaccination requirements. 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 carried out by two inspectors, a specialist nurse advisor and an Expert by Experience. The Expert by Experience contacted relatives by telephone to gather their views about the service. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Orton Manor Nursing Home 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. Orton Manor Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. Registered managers and registered providers are legally responsible for how the service is run and for the quality and safety of the care provided. A new manager had recently been appointed and will be completing their application to become registered with the Care Quality Commission in due course.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information we had received about the service since the last inspection and any recurrent themes of concerns. We sought feedback from the local authority and commissioners who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.
The provider had not been asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We carried out observations to assess people's experiences of the care provided. We spoke with the manager, two deputy managers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with five members of staff including nursing, care, catering and activities staff.
We spoke with three people and 10 relatives to gather their experiences of the care provided. We reviewed three people's care records, five wound monitoring charts and 21 people's medicines records. We looked at a sample of records relating to management of the service including health and safety checks, accident and incident records and policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found.