CQC report explained · a residential care home
What the CQC found at Orchard Court Residential Home Limited
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were protected from abuse and risks such as falls, pressure damage and weight loss were assessed and reviewed. Staffing, recruitment, medicines, infection control and safety checks were found to be effective, although one minor medicines record error was corrected.
- Effective?
- Good
- Staff received training, supervision and appraisals. People's care, dietary needs and rights were supported, and care was provided in line with the Mental Capacity Act and best-interest decisions where needed.
- Caring?
- Good
- Inspectors found kind and compassionate care. People's privacy, dignity, communication needs, preferences and confidentiality were respected.
- Responsive?
- Outstanding
- Care was highly personalised and staff showed exceptional knowledge of people's histories and needs. People were supported to enjoy meaningful activities, maintain relationships, take part in community life and receive individualised end-of-life care.
- Well-led?
- Outstanding
- The provider and management team promoted an inclusive service where people, relatives and staff were involved. Extensive checks, feedback systems and quality assurance processes were used to monitor and improve the home.
What inspectors found, November 2018
Rated Outstanding; inspectors found excellent personalised activities and leadership, with safe, effective and caring support rated Good.
This was an unannounced inspection on 20 September 2018. One inspector reviewed care records, staff files, training, medicines, complaints, quality checks and other records. They spoke with people living at the home, relatives, staff and a health care professional. They also observed care for people who could not explain their experiences themselves.
The home was rated Good for Safe, Effective and Caring. Inspectors found people were protected from abuse, risks were monitored, staffing was enough, staff were trained, people's rights and dietary needs were supported, and care was kind and respectful. One minor medicines recording error was corrected during the inspection.
The home was rated Outstanding for Responsive and Well-led. Inspectors found highly personalised care, meaningful activities, strong support at the end of life, and an inclusive management approach. The overall rating improved from Good at the previous inspection on 2 April 2016.
Personalised care
Care plans included detailed information about people's lives, interests and preferences. Staff used this knowledge to support people in a personal and meaningful way.
“We found people at the service received individualised care from a staff team who showed an exceptional knowledge of their needs.” from the report
Meaningful activities
Staff helped people continue hobbies, make choices about their days and stay connected with family and the local community.
“The service was extremely dedicated at recognising the importance of meaningful activity, social stimulation and maintaining people's family contact and friendships.” from the report
Strong leadership
The management team involved people, relatives and staff in decisions and used detailed checks to monitor quality, safety and people's welfare.
“There was a strong governance and accountability system in place.” from the report
End-of-life support
End-of-life care was tailored to individuals. Staff and managers supported people and their relatives, including outside normal working hours.
“Individualised end of life care was promoted to a high degree at the service.” from the report
Minor medicines record error
minorInspectors found one minor error in one person's medicines administration record. It was corrected during the inspection.
“One minor error on one person's MAR was corrected during the inspection.” from the report
- 01How do you make sure medicines administration records are accurate and checked after the minor error found at the inspection?
- 02What is the current position on the seven pending Deprivation of Liberty Safeguards applications mentioned in the report?
- 03How are each person's hobbies, life history and preferred activities recorded and kept up to date?
- 04How do you continue to involve residents and relatives in decisions about improvements to the home?
- 05How is personalised end-of-life support provided to people and their relatives now?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating; the previous overall rating was Good on 2 April 2016. This explanation was written from the published report of 23 November 2018 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 Residential Home Limited
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- November 2018Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Orchard Court Residential Home Limited →
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 January 2011.
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.
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32 live-in carers within about an hour of North Lincolnshire
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 £1,300 a week. 29 can care for a couple. 11 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
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.