CQC report explained · a nursing home
What the CQC found at Orchard Manor Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, February 2021
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an announced, targeted inspection on 28 January 2021. It checked infection prevention and control because of the coronavirus outbreak response.
Inspectors found that visitors were screened, PPE was available, cleaning had increased and people and staff were tested regularly. They were assured that the home was using PPE safely, managing outbreaks and keeping its infection control policy up to date.
Relatives spoke positively about kind care, communication and visiting arrangements. The home was inspected but not rated, so this report does not provide an overall quality rating.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infection, including PPE, testing, cleaning and an up-to-date policy.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visitor safety
Visitors completed health screening, had their temperature checked and were given masks and access to PPE and hand hygiene facilities.
“All visitors were asked to complete a health screening form, have their temperature checked and were provided with face masks to wear throughout their visit.” from the report
Kind care and communication
Relatives spoke positively about staff being caring, knowing people's needs and keeping families informed.
“Staff are always kind and caring. They know [Name] really well and fully meet their needs” from the report
Visiting arrangements
Relatives said garden and indoor visits had been booked in advance and managed well, with screens used for indoor visits.
“They said these were pre booked and well managed.” from the report
Inspectors raised no specific concerns in this report.
- 01Are visitors still screened, given masks and offered PPE before entering the home?
- 02How are people and staff currently tested for COVID-19 or other infections?
- 03How do you record and review each person's individual infection risks?
- 04How are visits currently arranged, and are screens or other safety measures still used?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 24 February 2021 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, November 2019
Rated Good overall; inspectors found safe, caring support, but leadership and reporting of serious incidents required improvement.
This was an unannounced focused inspection on 25 and 26 September 2019. Inspectors visited in the morning and evening, spoke with people and staff, observed care, and checked care, medicine, staffing and management records.
The home was rated Good for safety. People said they felt safe and received medicines on time. Inspectors found suitable staffing, safe hoist use, good infection control and robust recruitment. However, one person was briefly left without their required one-to-one support on two occasions, and building security needed attention.
The home was rated Requires Improvement for being well-led. Deaths and physical assaults between people had not always been reported to CQC as required. Inspectors said this was due to misunderstanding the rules, not a deliberate attempt to withhold information.
The overall rating stayed Good because the other three areas were not inspected during this visit. Their previous ratings were carried forward from the last comprehensive inspection.
People felt safe
People said they felt safe and comfortable with the staff team. They also said staff responded quickly to call bells and emergency alarms.
“People told us they felt safe living at Orchard Manor.” from the report
Medicines were managed well
Inspectors found medicines securely stored and records properly completed. Staff had medicine training and competency checks.
“Medication was securely stored, and records were appropriately signed once medicines had been administered.” from the report
Clean environment
The building was clean, tidy and hygienic during the visits. Staff used protective equipment when needed and supplies were available.
“The building was visibly clean and tidy during our visits.” from the report
Caring atmosphere
Inspectors found that people were treated as individuals and supported by staff. Staff told inspectors that managers were approachable.
“There was a positive and caring atmosphere within the home.” from the report
Serious incidents were not always reported
needs fixingDeaths and incidents involving physical assault had not always been reported to CQC as required. Inspectors recommended that the provider seek guidance on its regulatory responsibilities.
“The registered provider had not always informed us about adverse incidents and deaths as legally required.” from the report
One-to-one support was interrupted
needs fixingA person who needed continuous one-to-one support was left without that support on two occasions. Inspectors said the person was not harmed, but their safety was put at risk.
“However, on two occasions a person was left without their one to one support.” from the report
Building security needed improvement
needs fixingOn arrival, a staff member gave inspectors the entry code without checking who they were or asking for identification. The manager addressed this during the visit.
“On arrival at the service, a staff member gave us the code to enter without asking who we were or for identification.” from the report
- 01What changes have been made to make sure people receiving one-to-one support are never left without their allocated staff member?
- 02How do you now report deaths, physical assaults and other notifiable incidents to CQC?
- 03What checks are in place to control entry to the building, especially at night?
- 04What action has been taken following the Requires Improvement rating for well-led?
- 05How do you use feedback from people and relatives to check that improvements have been made?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 20 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 Manor Care Home
7 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- July 2017Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2017Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- June 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2015Requires improvementstayed Requires improvementSafe: Requires improvement
- August 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 31 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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84 live-in carers within about an hour of Cheshire West and Chester
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. 76 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.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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.