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Inspection Summary


Overall summary & rating

Good

Updated 7 April 2018

The inspection took place on 12 and 13 March. It was unannounced.

At our last inspection, we rated the service good. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The Orchards is care home with nursing for older people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and we looked at both during this inspection.

The Orchards provides accommodation and nursing care for up to 44 older people in a purpose built building across two floors. It has special facilities for people who require end of life care or have problems associated with dementia. At the time of our inspection there were 32 people living at the service.

There was a registered manager in post. 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.

People living at the home at the time of the inspection told us they felt safe. One person said, “I always feel safe staff look after me.” The provider had policies and procedures in place for safeguarding vulnerable adults. Staff understood how to recognise and report signs of abuse or mistreatment.

The provider had a health and safety committee that met three monthly to discuss any issues relating to the home. Each person had risk assessments in place. Staff assessed risks identified and took appropriate action to mitigate them. The provider had robust recruitment policies and procedures in place. There was enough staff to meet the needs of the people living at the home.

The provider had systems in place to manage medicines safely. There were suitable arrangements for storing and recording medicines that required extra security. Staff recorded room and fridge temperatures.

The provider protected people living at the home from infection. The home was visibly clean; communal areas and bedrooms smelt fresh and were in good condition. One person commented, “It’s always nice and clean.”

Staff knew how to report incidents and accidents. Records showed that staff had taken appropriate action where necessary and made changes to reduce the risk of a re-occurrence of an incident.

Staff had the skills, knowledge, and experience to deliver effective care and support. Mandatory training included safeguarding (adult and child protection), and Mental Capacity Act 2005.

The provider supported people to eat and drink enough to maintain a balanced diet. People who lived at the home told us they were very happy with the food provided. One person said; “There’s a good choice of food and you can have what you want” and, “The food is pretty good here.”

Staff discussed people’s care and support with them. People received personalised care. One person said, “They usually say, when would you like to get up.” Another person commented, “They ask me what I want to wear.” Staff worked in partnership with other professionals to ensure they effectively met people’s healthcare needs. One person living at the home told us, “They get the doctor to see you if you need it.”

The provider sought consent to care and treatment in line with legislation and guidance. When people moved to the home, staff assessed their capacity to consent and took appropriate steps if assessed the person as not having capacity to make a specific decision.

The provider ensured that staff treated people with kindness, respect, and compassion. Staff also

Inspection areas

Safe

Good

Updated 7 April 2018

The service remains Good

Effective

Good

Updated 7 April 2018

The service remains Good

Caring

Good

Updated 7 April 2018

The service remains Good

Responsive

Good

Updated 7 April 2018

The service remains Good

Well-led

Good

Updated 7 April 2018

The service has improved to Good