CQC report explained · a residential care home
What the CQC found at Orchard Views Residential 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, April 2023
Orchard Views Residential Home is rated Requires Improvement; inspectors found progress, but fire safety actions, the building and management systems still need attention.
This was an unannounced focused inspection. Inspectors visited on 03 April 2023 and reviewed Safe and Well-led. They spoke with people, relatives, staff and health professionals, observed care, and checked care, medicines, recruitment and management records.
The home had improved since the previous inspection. Medicines, risk assessments, infection control and quality checks were better. People appeared safe and staff were kind, respectful and available. However, some staff medicine competency checks needed updating, fire risk assessment actions were incomplete, and parts of the building looked tired.
The overall rating remains Requires Improvement, as do Safe and Well-led. This means the home was not consistently meeting the standard expected, and there was limited assurance about safety and leadership. The other three key questions were not inspected during this visit, so their previous ratings were carried forward.
Kind and respectful staff
Inspectors saw staff treating people with care and asking for consent before carrying out care tasks. People and relatives spoke positively about the support.
“Throughout the inspection we observed staff interacting with people in a caring and considerate way.” from the report
Improved medicines safety
Medicines were received, stored, given and disposed of safely. Staff explained medicines and checked whether people needed pain relief.
“Enough improvement had been made in relation to medicines management at this inspection and the provider was no longer in breach of regulation 12.” from the report
Staff availability
Inspectors found enough staff available to respond to people promptly. Staff also described staffing levels positively.
“We observed staff interacting with people and found there were sufficient staff available to respond to people in a timely way.” from the report
Better risk management
Individual risk assessments had improved and staff understood how to reduce risks. Emergency evacuation plans were up to date.
“We found risk assessments had been completed, specific to the individual, including, nutrition, moving and handling and pressure care.” from the report
More detailed quality checks
The manager had introduced stronger monthly audits and regular checks around the home. Issues were identified and actions were recorded.
“Monthly audits were carried out by the manager which were more robust and detailed.” from the report
Unfinished fire safety work
needs fixingSome actions from the March 2023 fire risk assessment had not been completed. These included extra fire exit signs and replacement automatic door closures.
“Some actions recommended in the services fire risk assessment, which was carried out on 10 March 2023 had not been completed.” from the report
Building needs repair
minorThe home was clean, but some areas needed refurbishment and redecoration. Inspectors noted chipped paint and damaged walls and door frames.
“Paintwork was chipped and some of the walls and door frames were damaged and needed refilling and repainting.” from the report
Feedback was not structured
needs fixingPeople and relatives could speak to the manager informally, but there were no formal surveys or meetings. The CQC recommended a more organised way to gather views.
“We recommend the provider implements a more structured system to gather feedback from people and relatives on how the service was being run or what could be done better to drive improvements.” from the report
Management arrangements
needs fixingThere was no registered manager in post during the inspection. A new manager had applied to register, and the CQC was assessing the application.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01What has been done about the unfinished fire exit signage and automatic door closure work, and when will it be completed?
- 02What repairs and redecoration are planned for the chipped paint, damaged walls and door frames?
- 03Has the manager's application to become the registered manager been completed and accepted?
- 04How are medicine competency checks kept up to date for every staff member who handles medicines?
- 05When will regular surveys or meetings for people and relatives begin, and how will their feedback lead to changes?
This was a focused inspection of Safe and Well-led only; the other three key question ratings were carried forward from the previous inspection when calculating the overall rating. This explanation was written from the published report of 28 April 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.
What inspectors found, February 2022
Rated Requires Improvement; inspectors found risks in medicines, infection control, safety checks and management oversight.
This was an unannounced, focused inspection on 8 December 2021. Inspectors spoke with people, relatives, staff and a health professional. They reviewed care, medicine and staff records and checked the building.
The home was not always safe. Medicines were not always given or recorded as prescribed. Some care plans and risk assessments were out of date, fire safety work was incomplete, and infection control checks were not effective. Inspectors found no evidence that people had been harmed, but people had been placed at risk.
The home was not well-led. Its audits and checks had not found the problems inspectors identified. The home was rated Requires Improvement overall. Safe and Well-led were both rated Requires Improvement, while the other three areas were not inspected and carried forward from the previous inspection.
Safeguarding
Staff understood how to recognise and report possible abuse. Safeguarding incidents were recorded with the action taken.
“Staff we spoke with were able to describe the signs that could indicate a person was being abused.” from the report
Cleanliness and PPE
Inspectors found the home clean, with enough protective equipment. Staff were seen using it correctly.
“The home was found to be clean. There was a sufficient supply of PPE and staff were observed wearing PPE correctly.” from the report
Recruitment checks
The provider carried out police checks and obtained references from previous employers before employing staff.
“These checks included police checks and references from previous employers.” from the report
Working with professionals
The home worked with families and health and social care professionals to support consistent and timely care.
“The service worked closely with other health and social care professionals to ensure people received consistent and timely care.” from the report
Medicines
seriousMedicines were not always given as prescribed and some records were incomplete. Staff had not recently had medicine training or competency checks at the time of inspection.
“One person's medicine was not accurately checked. They were not given medicine as prescribed over a period of two weeks.” from the report
Risk assessments
seriousSome care plans and risk assessments were not reviewed when people's needs changed. Required checks for one person at high risk of skin damage were not recorded.
“Care plans were detailed, however we identified not all care plans and risk assessments were reviewed regularly.” from the report
Building safety
seriousThe fire risk assessment had not been reviewed since 2017, and electrical safety work was still incomplete from the previous inspection.
“The risk assessment recommended that the provider complete a five-year electrical test to reduce the risk of fire.” from the report
Infection control monitoring
seriousVisitor vaccination or testing checks were not followed, and the provider did not have an adequate system for monitoring staff testing.
“During our inspection we observed a number of visiting professionals arriving and none of these measures were followed.” from the report
Management checks
seriousAudits and quality monitoring did not identify important problems with medicines and infection control. This led to a breach of the governance regulation.
“Systems in place to monitor the service were not effective. Some quality monitoring had taken place but had not identified the issues we found during this inspection.” from the report
- 01How are you now checking that every person's medicines are given and recorded exactly as prescribed?
- 02How often are care plans and risk assessments reviewed when someone's mobility or health needs change?
- 03Has the fire risk assessment been reviewed and has the electrical installation work been completed?
- 04How do you now check staff testing and the vaccination or exemption and testing status of visiting professionals?
- 05What changes have been made to medicine and infection control audits since this inspection?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were not inspected and were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 18 February 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.
Every inspection of Orchard Views Residential Home
6 rated inspections over 7 years: the service has held its Requires improvement rating throughout.
- April 2023Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Orchard Views Residential Home →
- February 2022Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
Read what inspectors found at Orchard Views Residential Home →
- December 2019Goodup from Requires improvementSafe: GoodWell-led: Requires improvement
- November 2018Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2017Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- June 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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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