We carried out a review of the data available to us about Orchard Court Residential Home Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Orchard Court Residential Home Limited, you can give feedback on this service.
Orchard Court is registered to provide care and accommodation for a maximum of 34 people, some of whom may be living with dementia. There is a house and single storey flats in the grounds. The service is situated close to Brigg town centre.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
This inspection took place on 20 September 2018, it was unannounced.
At the last inspection on 2 April 2016, the service was rated good. At this inspection, we found the service had improved to outstanding. The reasons why responsive and well-led have been rated outstanding are summarised below.
During this inspection, we found multiple examples to demonstrate the staff and management team were passionate about providing an innovative, excellent service.
High quality person-centred care and support was provided to people. Staff were extremely knowledgeable about people’s needs and they delivered high quality holistic care to people to ensure their needs were met.
Staff were extremely attentive and went the extra mile to ensure people’s lives were fulfilling and meaningful. Staff were dedicated and made sure people maintained their hobbies and interests.
People were supported by a highly motivated staff team who went out of their way to respond to people’s emotional needs.
The provider and registered manager were passionate about delivering an outstanding service to people. The providers ethos and values had been enhanced to make sure the service excelled and was inclusive of all parties. This ensured people living at the service, their relatives and staff and nurtured and involved.
Exhaustive quality assurance procedures were in place to assess the quality of the service provided and maintain people's welfare and safety.
The provider and registered manager valued the staff team immensely and supported them, they in turn, valued and supported the service. Staff went the extra mile to make sure people living at the service were supported to engage in outstanding activities to promote their social inclusion.
Individualised end of life care was promoted to a high degree at the service. The registered manager and staff came in whilst off duty to sit with people and provide support to them and their relatives during those times.
Staff understood their responsibilities to protect people from harm and abuse. Accidents and incidents were monitored. Robust recruitment processes were in place. Infection control was maintained.
Staffing levels provided meet people's needs and they remained under review by the management team. Staff undertook training and supervision to maintain and develop their skills.
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Staff treated people with compassion and supported them in a kind, caring way. People’s privacy and dignity was respected. Advocates were available locally to help people raise their views.
People’s dietary needs were met. The food served looked appetising and nutritious. People who required monitoring of their dietary needs had this in place. Staff contacted health care professionals for help and advice if they had concerns and acted on the advice received.
Orchard Court Residential Home Limited is registered with the Care Quality Commission (CQC) to provide accommodation for up to 30 older people, some of who may be living with dementia. Accommodation is provided over two floors and within four bungalows situated in the back garden. There is a secure garden at the rear of the service and a car park for visitors to use.
The service has a registered manager in place. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
Staff understood they had a duty to protect people from abuse and knew they must report concerns or potential abuse to the management team, local authority or to the Care Quality Commission (CQC). This helped to protect people.
We observed that the staffing levels provided on the day of our inspection met people’s needs. Staff were aware of the risks to people’s wellbeing and what action they had to take to minimise risks. Staff were trained in a variety of subjects to develop and maintain their skills. Training was updated as required and supervision and appraisals occurred to help support the staff.
People’s nutritional needs were assessed and monitored by staff. Their preferences and special dietary needs were known and were catered for. Staff encouraged and assisted people to eat and drink, where necessary. Advice from relevant health care professionals was sought to ensure that people’s nutritional needs were met.
Staff supported people to make decisions for themselves they reworded questions or information to help people living with dementia understand what was being said. People chose how to spend their time.
People who used the service were supported to make their own decisions about aspects of their daily lives. Staff followed the principles of the Mental Capacity Act 2005 when there were concerns people lacked capacity and important decisions needed to be made.
Staff were attentive kind and caring. There was a programme of activities provided to help stimulate people.
The service was being improved and a refurbishment and redecoration programme had commenced. We found some bathrooms downstairs needed a spring clean this was carried out to ensure the home remained a pleasant place for people to live. One refurbishment of a bathroom which was planned to take place was commenced following our inspection. There was signage in place to help people find their way to the toilets and bathrooms.
People had numbers on their doors and door knockers. They were able to lock their bedroom doors if they wished. The communal areas were located on the ground floor. General maintenance occurred and service contracts were in place to maintain equipment so it remained safe to use.
A complaints procedure was in place. This was explained to people living with dementia or to their relations so that they were informed. People’s views were asked for, feedback received was acted upon.
The registered provider undertook a variety of audits to help them monitor the quality of the service. We saw issues found were addressed.
Information was available for staff to use to ensure people received the care and attention they needed. People spoke positively about the staff; comments included, 'The care staff are very good', 'They look after you really well' and 'They try and please everyone.'
We saw medication was stored and administered safely and people were protected from the risks associated with medication.
There were enough suitably trained staff on duty to meet people's needs.
The provider asked people who used the service, their relatives and visiting professionals for their opinions about the way the home was run.
We found that staff had access to information about how to meet the needs of people who used the service and this was updated as their needs changed. Relatives told us they found the care staff very caring and were always warmly welcomed into the home. People who used the service tod us, 'The girls are excellent you just can't fault them' and 'They will do anything for you they are so kind and helpful.'
We found that people were protected from abuse and staff had received training about how to indentify and report any abuse they may witness or become aware of.
We found that staff were recruited safely and all checks were carried out before staff started working at the home. This ensured people were not exposed to staff who should not work with vulnerable adults.
We saw people had the opportunity to make complaints about the service and their complaints were acted on and changes made where required. People told us they would approach the manager if they had any concerns or complaints.
People living in the home were also very complimentary about the activities provided. Comments included "I enjoy the activities," "There is always something going on" and "They come and fetch you to join in."
At this inspection people living in the home and their visitors were complimentary about the care they received. Comments included 'It couldn't be any better, the staff are kind and caring and they ask you what you want,' 'They look after me very well,' 'Its ok and the staff are nice' and 'The staff are always available when I need them.'
They stated they would feel comfortable raising any concerns. Comments included 'I have no complaints' and 'Its lovely here.'
They confirmed that they were consulted about the services provided. They told us 'We have meetings and you can make suggestions about what is going on'. One person said 'We have a meeting once a month and you can make suggestions, I asked for roast potatoes on the menu and they were provided'.
People provided very positive comments about the care they received. Comments included 'I am looked after well here', 'Staff pop in to see if I am ok and they turn me regularly' and 'They don't rush me about'.
People were very complimentary about the activities provided. Comments included 'I enjoy the activities' and 'There is always something going on'. One gentleman who said he enjoyed the activities did state that he felt the activities provided were more for the ladies.
People told us that they felt safe living in the home and were comfortable raising any concerns they may have. One person told us that when they had raised a concern this had been managed well and the issue had been addressed.
People were complimentary about the staff who worked in the home. Comments included 'They are very good, it's like a little family', 'Most are pretty good', and 'The staff are lovely here'.