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Inspection Summary


Overall summary & rating

Good

Updated 24 October 2019

About the service

Orchard House provides accommodation and personal care for up to 28 older people who may have dementia related illness. 10 places were for people who needed shorter stay accommodation and care. There were 27 people living at the home at the time of our inspection.

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

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Sufficient, knowledgeable staff were available to meet people's needs. People received their medicines regularly and systems were in place for the safe management and supply of medicines. Incidents and accidents were investigated, and actions were taken to prevent recurrence. The premises were free from odour, and staff followed infection control and prevention procedures.

People's needs were assessed, and care was planned and delivered to meet legislation and good practice guidance. Care was delivered by staff who were well trained and knowledgeable about people's needs and wishes. People enjoyed their meal time experience. 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 cared for by staff who were caring. The atmosphere within the home was friendly and welcoming and staff were considerate towards people they cared for. People and their relatives felt involved and supported in decision making. People's privacy was respected, and their dignity maintained.

People were supported by staff who had the guidance and knowledge about how to meet people’s needs and support them as an individual. People had some interesting things to do and the registered manager was improving how people spend their time. Complaints were investigated, and outcomes agreed, and improvements made when needed.

People's concerns were listened to and action was taken to improve the service as a result. The registered manager and her management team were open, approachable. Systems were in place to improve the quality of care provided. The new registered manager had improved the culture at the home and was taking positive actions to benefit people living at the home.

The registered manager and her management team were open, approachable and focussed on providing person centred care. Systems were in place to monitor the quality of care provided. The management team and staff were passionate about person centred care and people felt valued and well supported. The registered manager worked on promoting community links to improve people’s well-being.

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 Good (published October 2016)

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

Good

Updated 24 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 24 October 2019

The service was well-led.

Details are in our well-led findings below.