CQC report explained · a residential care home
What the CQC found at Orchard Leigh
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, protective equipment, testing, cleaning, visiting and the management of possible outbreaks. The provider also described measures to reduce the effect of COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found effective infection control, safe visiting and support for families during the COVID-19 pandemic.
This was a targeted, announced inspection on 17 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home.
Inspectors were assured that the home used protective equipment safely, arranged regular testing, followed cleaning routines and kept its infection control policy up to date. People were supported to see relatives and to access the community safely.
The home was inspected but not rated. This means the report does not give an overall quality rating or full ratings for all five areas of care.
Safe family visits
The home had arrangements that allowed people to see and speak to relatives safely, in line with their preferences and government guidance.
“The service had systems in place for safe visiting to allow people to see and speak to their relatives.” from the report
Infection control
Inspectors found effective measures for protective equipment, testing, cleaning and preventing or managing outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Cleaning and hygiene
The home followed a cleaning routine that included regularly touched surfaces.
“A cleaning regime was followed to ensure effective measures to reduce infection risks, including tasks such as cleaning of any regular touchpoint surfaces.” from the report
Support during the pandemic
People were helped to understand COVID-19, and staff said they had the knowledge to respond to an outbreak.
“Staff told us that they felt supported and had the knowledge and understanding to deal with an outbreak.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the home's current arrangements for visits from relatives?
- 02How are people currently supported to access the community and visit relatives?
- 03How does the home respond if COVID-19 or another infection outbreak occurs?
- 04How does the home manage staffing pressures when staff are absent because of illness or infection control requirements?
- 05What recent full CQC ratings or assessments can you show us for areas not covered by this inspection?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other four key questions. This explanation was written from the published report of 18 March 2022 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.
What inspectors found, January 2020
Rated Good; inspectors found safe, kind and personalised care, with clearer dietary guidance still planned.
This was an unannounced inspection on 6 December 2019. The inspector spoke with one person, three relatives and four staff members, and reviewed care, medicines, recruitment and management records.
The home supported seven people with personal care. Inspectors found people were safe, treated with kindness and supported to make choices, build independence and take part in activities at home and in the community.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating stayed Good, the same as at the previous inspection published on 9 June 2017.
Stable staff team
The home had a consistent team with enough staff and the right experience or training to meet people's needs.
“People benefited from a stable and consistent staff team who ensured their needs were consistently met.” from the report
Kind and respectful care
Relatives were positive about the staff team, and inspectors observed respectful communication and support for privacy and dignity.
“Relatives reported that they were pleased with the staff team at present and felt they were all kind and caring.” from the report
Activities and community links
People were supported to maintain relationships, try activities and pursue interests, including voluntary or paid employment for one person.
“People were supported to carry out a range of activities in the home and community depending on their preferences and timetables.” from the report
Dietary guidance being reviewed
minorThe registered manager planned to review the guidance for people with specific dietary requirements with health professionals. This was intended to make sure staff had clear, up-to-date food descriptions to follow.
“However, the registered manager planned to review people who had specific dietary requirements with the relevant health care professional to ensure there was clear guidance containing the new food descriptors for staff to follow.” from the report
- 01What progress has been made in reviewing people's specific dietary requirements and updating the food descriptors for staff?
- 02How do you make sure staff understand each person's communication methods, including sign language, easy-read information or picture cards?
- 03How do you involve people who cannot communicate verbally in decisions about their care and daily activities?
- 04How do you maintain staffing levels when people's support needs or activities change?
- 05What improvements have been made since the new registered manager took up the role?
This was an unannounced inspection covering all five CQC questions for the care home, including its premises and care, while the registered supported living service had no people using it at the time. This explanation was written from the published report of 8 January 2020 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 Leigh
3 rated inspections over 4 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 2010.
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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38 live-in carers within about an hour of Gloucestershire
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 £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.