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Orchard House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 December 2020

About the service

Orchard House is a care home providing personal and nursing care to 47 people aged 65 and over at the time of the inspection. The service can support up to 67 people.

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

There were not always enough staff working in one area of the home and this put people at risk of not receiving care when they needed it.

People were happy with the care home and the staff that provided their care.

People felt safe living at the home and staff knew how to report possible harm. Staff assessed and reduced risks as much as possible, and there was equipment in place to help people remain as independent as possible. The provider obtained key recruitment checks before new staff started work.

People received their medicines and staff knew how these should be given. Medicine records were completed accurately and with enough detail. Staff used protective equipment, such as gloves and aprons.

Systems to monitor how well the home was running were carried out. Concerns were followed up to make sure action was taken to rectify any issues. Changes were made where issues had occurred elsewhere, so that the risk of a similar incident occurring again was reduced. People were asked their view of the home and action was taken to change any areas they were not happy with.

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 this service was requires improvement (report published 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection there had been improvement in previous areas of concern but there was a breach of regulation in another area.

Why we inspected

We carried out an unannounced comprehensive inspection of this service between 10 and 12 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and 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.

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.

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 remained requires improvement. 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 House on our website at www.cqc.org.uk.

Enforcement

We have identified a breach in relation to staffing levels at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 4 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 December 2020

Caring

Requires improvement

Updated 4 December 2020

Responsive

Requires improvement

Updated 4 December 2020

Well-led

Requires improvement

Updated 4 December 2020

The service was not always well-led.

Details are in our well-Led findings below.