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Inspection Summary


Overall summary & rating

Good

Updated 26 September 2019

About the service

The Orchards Residential Home is a residential care home providing personal and nursing care to 43 people aged 65 and over at the time of the inspection.

The Orchards Residential Home accommodates 44 people in one adapted building. The home supports people with a range of needs and includes people living with dementia.

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

Medicines were not always managed safely. The registered manager took prompt action to address the issues found. Systems and processes were in place to keep people safe and risks associated with people's care needs were assessed and managed. There were sufficient staff to meet people's needs. There were effective recruitment processes in place to ensure staff were suitable to work in the service. The service was clean, and there were procedures in place to minimise the risks associated with cross infection.

The registered manager promoted a positive, caring culture which was evident across the whole staff team. People were positive about the staff and told us everyone was "Like one big family." People and staff felt valued and listened to.

People enjoyed living at The Orchards and benefitted from a wide range of activities which were planned to ensure they met people’s individual needs. Care plans were person-centred and reflected people’s preferences. Care plans related to end of life care were being developed. There were effective systems in place to investigate and respond to complaints.

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 enjoyed their meals and received food and drink to meet their needs. Staff had the skills and knowledge to meet peoples’ needs and were well supported. People were supported to access health professionals when necessary.

The registered manager was committed to continuous improvement. There had been significant improvements in the service and feedback showed the improvements had been driven by the management team. There were a range of effective systems in place to monitor and improve the service. People, relatives and staff were involved in the service and felt valued for their contribution.

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

Rating at last inspection

The last rating for this service was requires improvement (published 13 September 2019).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Requires improvement

Updated 26 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 26 September 2019

The service was well-led.

Details are in our well-led findings below.