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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2020

About the service

Orchard Residential is registered to provide residential care to up to 26 older people and those living with dementia. At the time of our inspection 26 people were living at the service.

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

At our last inspection the provider had failed to robustly assess the risks relating to the health safety and welfare of people. We also found governance systems were not effective at ensuring regulations were met. Enough improvement had been made at this inspection and the provider was no longer in breach of Regulations.

Risks relating to the environment, infection-control and the care needs of people were safely managed. Action to reduce risk had been taken in response to any accidents and incidents. People received their medicines as prescribed by competent staff. Medicines were stored and recorded in line with national guidance and best practice. People spoke positively about the safety of the care provided at Orchard Residential. Staff understood their responsibility to report anything of concern and had done so in accordance with the relevant guidance. Staff were safely recruited subject to the relevant checks and deployed in sufficient numbers to meet people’s care needs.

Following the last inspection, the service had improved systems to monitor, assess and improve the safety and quality of care being provided. Staff demonstrated kindness and respect in their interactions with people. It was clear they knew people well and provided care in an individualised manner. Staff and relatives spoke positively about the level of communication from managers at the service. People had been provided with information regarding COVID-19 and changes that were being implemented to keep people safe. Referrals to other health services were managed well and appropriately followed up on. For example, where people did not meet the criteria for specialist support, staff engaged with GP’s to ensure health conditions were managed in the person’s best-interests.

Rating at last inspection and update

At the last inspection the service was rated requires improvement (report published 22 November 2019).

During the last inspection we found a breach of Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about infection control. A decision was made for us to inspect and examine those risks. 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 coronavirus and other infection outbreaks effectively.

We carried out an unannounced comprehensive inspection of this service on 19 and 2 September and 4 November 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Orchard Residential on our website at www.cqc.org.uk.

Inspection areas

Safe

Good

Updated 19 December 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 December 2020

Caring

Good

Updated 19 December 2020

Responsive

Good

Updated 19 December 2020

Well-led

Good

Updated 19 December 2020

The service was well-led.

Details are in our well-led findings below.