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Inspection Summary

Overall summary & rating


Updated 22 November 2019

About the service:

Orchard House is a care home providing accommodation and personal care for up to five people with mental health needs. At the time of the inspection, five people were living there.

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

People told us they felt safe and had a good relationship with staff. Staff felt confident to raise safeguarding concerns with the registered manager and were aware of external agencies where they could report concerns.

Staff supported people to manage their medicines safety. There were enough staff available to support people safely and ensure people that needed support to access the community could do so. Staff were recruited safely. Risks to people were identified and guidance was in place for staff to reduce the level of risk to people.

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. Where required, decision specific capacity assessments were completed and there was an effective system to monitor Deprivation of Liberty Safeguards applications and authorisations.

Staff received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care needs. Staff received regular one to one supervision and told us they felt supported.

Support plans were detailed and reviewed regularly. People’s healthcare needs were identified and met. Staff worked with a range of healthcare professionals and followed professional advice and guidance when needed. Feedback we received from professionals who worked with the service was positive.

People were supported by caring staff who worked towards promoting their dignity, privacy and independence.

There were systems to ensure care was responsive. People felt their concerns and complaints would be listened to and responded to. People had plans relating to end of life care decisions where required.

People gave us positive feedback about the quality of care they received. The feedback on the leadership of the service and the registered manager from people and staff was positive.

There were effective governance systems in place to monitor the quality of service and the health, safety of welfare of people.

For more details, please see the full report which is on the CQC website at

Rating at last inspection:

The last rating for this service was Good (published January 2017)

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

Inspection areas



Updated 22 November 2019

The service was safe.

Details are in our Safe findings below.



Updated 22 November 2019

The service was effective.

Details are in our Effective findings below.



Updated 22 November 2019

The service was caring.

Details are in our Caring findings below.



Updated 22 November 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 22 November 2019

The service was well-led.

Details are in our Well-Led findings below.