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CQC report explained · a residential care home

What the CQC found at Orcadia

Goodpublished 16 August 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed, medicines were managed safely, infection controls were in place and there were enough staff. Emergency evacuation plans and fire drills were also in place.
Effective?
Good
People's needs and choices were assessed in detail. Staff had suitable training and worked with health professionals to support people's health, nutrition and exercise.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions, supported to express their views and encouraged to remain independent.
Responsive?
Good
Care was personalised and people had key workers who knew them well. People took part in activities, community visits, voluntary work and social contact according to their preferences.
Well-led?
Good
Inspectors found an open and positive culture, with staff who felt listened to and valued. Audits and other checks were used to monitor quality and complete improvements.
The latest report, explained

What inspectors found, August 2023

Orcadia was rated Good; inspectors found safe, kind and person-centred care, with people supported to make choices and live active lives.

The inspection took place on 10, 11 and 17 July 2023. One inspector visited the home, spoke with people, relatives, staff and healthcare professionals, and reviewed care plans, medicines records, staff files and management records.

The home provided accommodation and personal care for 9 people. Inspectors found that people were safe, treated with dignity and supported by staff who knew them well. People were helped to make daily choices, stay independent, keep in touch with relatives and take part in activities in the home and community.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous rating was also Good, published in January 2018. The report says the ratings for all five areas remained Good.

What inspectors praised
  • Choice and independence

    People were supported to make everyday decisions and take part in activities that mattered to them. Staff encouraged independence in personal care, travel, communication and household tasks.

    “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” from the report
  • Stable staff team

    The home had an established staff team who knew people's needs, wishes and routines well. Inspectors and professionals linked this stability to positive relationships.

    “There was an established staff team who understood the wants, needs and wishes of the people they supported well.” from the report
  • Safe medicines practice

    Medicines were stored and recorded correctly, and staff had current training and competency checks. Audits were used to identify and resolve discrepancies.

    “Medicines were managed safely, and people received their medicines as prescribed.” from the report
  • Meaningful activities

    People were supported to take part in activities such as swimming, walks, shopping, social clubs, holidays and voluntary work. They could suggest new activities and choose what they wanted to do.

    “People were engaged in a range of activities both in the service and in the local community.” from the report
  • Respectful care

    Inspectors observed staff being warm and respectful. Staff promoted privacy by knocking before entering rooms, seeking consent and supporting personal care appropriately.

    “We observed staff interacting with people in a friendly, warm and respectful way.” from the report
  • Open management

    People, relatives and staff were encouraged to give feedback. Inspectors found that the manager used audits, meetings and feedback to improve the service.

    “The registered manager worked in an open and transparent way and understood their responsibilities under the duty of candour.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess and review my relative's specific health needs, including any risks such as choking, falls or diabetes?
  2. 02What activities and community opportunities would be available for my relative, and how would they choose which ones to attend?
  3. 03How would my relative communicate their choices, distress or pain if they could not explain these verbally?
  4. 04How would you involve my relative and our family in reviewing the care plan and setting goals?
  5. 05How do you make sure medicines are given correctly and that staff remain competent to administer them?

This was a comprehensive inspection covering all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 16 August 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Orcadia

3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. August 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Orcadia →

  2. January 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. September 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. January 2020

    Registered with the Care Quality Commission on 15 January 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Cheshire East

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,260 a week. 88 can care for a couple. 10 years' experience on average.

“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
Katrina R., about Camille F.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
John P., about Rodrigo Javier B.
See live-in carers near Cheshire EastProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.