CQC report explained · a residential care home
What the CQC found at Orchard Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, safe recruitment, enough staff and safe medicines systems.
- Effective?
- Good
- People's needs were assessed and staff had training to support people with learning disabilities and autism. People received support with food, healthcare and consent.
- Caring?
- Requires improvement
- Staff were kind and respected people's dignity, but they did not always talk with people before carrying out care tasks or involve them in decisions.
- Responsive?
- Good
- Care plans reflected people's needs, likes and preferences. People were supported with communication, relationships, complaints and activities they enjoyed.
- Well-led?
- Good
- The home had quality checks and investigated incidents and complaints. Relatives said the management team spent significant periods in the office and wanted to see them more often.
What inspectors found, November 2019
Rated Good overall, but inspectors found that staff did not always communicate with people or involve them in care decisions.
This was an unannounced inspection on 26 September 2019. One inspector spoke with and observed 10 people, two relatives and staff. They also checked care, medicine, recruitment and management records.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Requires Improvement because staff sometimes carried out care tasks without first speaking with the person or involving them in decisions.
Inspectors found safe medicines practice, suitable staffing, trained staff and care plans that reflected people's needs and preferences. The home had systems for complaints, learning from incidents and working with health and social care professionals.
The previous rating was Inadequate, published in May 2018. This was the first inspection since a new provider took over on 1 August 2018. The report says the home will continue to be monitored.
Safe care and medicines
Inspectors found that risks were assessed, staffing matched people's assessed needs and medicines were stored, given and recorded safely.
“There were recording systems in place which clearly showed what people's medicines were for, what the side effects were, and when people had taken their medicines.” from the report
Supportive staff training
Staff received induction and additional training for people's needs, including learning disabilities and autism.
“New staff received an induction which provided a good foundation of knowledge and understanding of the organisation and their roles.” from the report
Personalised activities and care
Care plans included people's preferences, and people were supported to take part in activities inside, outside and in the local community.
“People were supported to pursue activities they enjoyed. This included activities inside and outside the home within their local community for example, home baking and games of bingo.” from the report
Learning from incidents
The manager investigated accidents and incidents in detail and shared learning with staff to reduce the chance of problems happening again.
“Comprehensive investigations were completed, and learning was shared with staff to help prevent further incidents.” from the report
People were not always involved
needs fixingInspectors saw staff carry out several tasks without first explaining them or involving the person. This included support with a meal, cleaning an injury and seeing relatives.
“We saw several staff carry out tasks without talking to people first.” from the report
Management visibility
minorPeople and relatives said the management team spent significant periods in the office. The manager said they would spend more time with people in the home.
“We received feedback from people and relatives that the management team spent significant periods of time in the office and they would enjoy seeing them more often throughout the home.” from the report
- 01How will staff make sure they speak with my relative and gain their involvement before carrying out care tasks?
- 02What has changed since the inspection to improve communication and choices for people?
- 03How will managers spend more time with people in the home rather than mainly being in the office?
- 04How will you use pictorial communication aids to help people choose their meals and other parts of their care?
- 05How are the three wings used to make the home feel small and person-centred for residents?
This was an unannounced inspection covering all five CQC questions and the overall quality and safety of the care provided. This explanation was written from the published report of 2 November 2019 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.
Every inspection of Orchard Court
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good
- August 2018
Registered with the Care Quality Commission on 1 August 2018.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Leicestershire
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. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Together Earther and I supported her to die at home with great dignity and compassion and him to continue with life.”
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.