8 April 2021
During a routine inspection
Orchard Court provides residential care for people with a range of needs such as living with dementia and Parkinson’s disease. The service accommodates up to 63 people in one adapted building. At the time of our inspection the service was supporting 16 people.
People’s experience of using this service and what we found
The service had made improvements to the quality of care and implemented new ways of working to give the registered manager better oversight of the service. We found that the medication audit process needed improving and embedding to be fully effective. The provider was aware of these shortfalls and was making changes to make the system more robust.
People felt safe living at Orchard Court and were supported by knowledgeable staff who knew them well. Staff understood their responsibilities to keep people safe, whilst enabling them to be independent and have maximum choice in the way they spent their days. Staff were suitably skilled and experienced to support people well.
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.
Staff were kind and caring and knew peoples likes and dislikes. There was a cheerful and upbeat atmosphere at the home where people were busy and engaged.
People and staff were involved in improving the service and were invited to give feedback and ideas. Relatives were kept informed of changes and were involved in reviewing care when appropriate. They felt able to approach the register manager with any concerns. Issues were addressed quickly and appropriately and lessons learned from incidents.
The registered manager was very visible in the service. She understood her responsibilities and had a clear vision for improving the service. She engaged with other partnership organisations to improve practice and drive up the quality of care.
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 the service under the previous provider was requires improvement, published on 30 April 2018. The service has improved to good.
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.