CQC report explained · a residential care home
What the CQC found at The Orchard
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, cleaning, testing, visiting, admissions and managing outbreaks. The provider also said it had measures to reduce the risks from 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, although inspectors noted that staff supported residents' social and emotional wellbeing.
- Responsive?
- Good
- This area was not assessed in this targeted inspection. Inspectors noted that activities were based on each resident's individual needs.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, January 2022
Inspected but not rated; inspectors found strong infection control arrangements and support for residents during the COVID-19 pandemic.
This was a targeted, announced inspection on 12 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19-related staffing pressures affected the home.
The inspectors found comprehensive COVID-19 policies, enough protective equipment, staff training, regular cleaning and testing. They were assured that the home was managing visitors, admissions, outbreaks, shielding, social distancing and vaccination requirements safely.
Staff also supported residents' social and emotional wellbeing with activities based on individual needs. The service was inspected but not rated, so this report does not give a full quality rating for the home.
COVID-19 planning
The home had detailed policies for managing COVID-19 risks, including what to do if someone tested positive.
“The home had comprehensive policies and procedures to manage any risks associated with the COVID pandemic, including the management of people with a COVID positive diagnosis.” from the report
Protective equipment and cleaning
There were enough supplies of protective equipment, hand sanitiser was available and staff had been trained. Daily cleaning included frequently touched areas.
“There were sufficient supplies of personal protective equipment (PPE) available for people.” from the report
Testing and visiting controls
Residents and staff were tested in line with government guidance. Visitors were screened and had to show vaccination evidence and a negative lateral flow test before entering.
“All visitors, including healthcare professionals, were subject to a range of screening procedures.” from the report
Individual activities
Staff supported residents' social and emotional wellbeing through activities based on individual needs.
“Staff supported the social and emotional wellbeing of residents, which included access to a range of activities based on the individual need of each resident.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place to manage COVID-19-related staffing pressures?
- 02How are visitors currently screened, and what evidence or tests are needed before entry?
- 03How often are residents and staff tested for infections, and what happens if someone tests positive?
- 04How are activities chosen to match each resident's individual needs?
- 05How do you keep the infection prevention and control policy up to date?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 18 January 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
The Orchard was rated Good in all five areas, with inspectors finding safe, kind and person-centred care.
This was an unannounced planned inspection on 4 December 2019. Inspectors spoke with people using the home, relatives, managers and care staff. They also reviewed care records, medicines records, staff files and management records.
The home supported six people with learning disabilities and complex needs. Inspectors found that people were protected from abuse, medicines were managed safely, and staff had the right checks, training and support. Care was based on people's needs, choices and communication styles.
People were treated with kindness and supported to make choices, stay independent and take part in activities. The home had systems to check quality and deal with concerns. All five ratings were Good, unchanged from the previous inspection published on 30 June 2017.
Kind, individual care
Staff understood people's personalities, communication and preferences. Inspectors saw staff building trusting relationships and involving people in everyday decisions.
“Staff demonstrated an in depth understanding of each person as individuals, describing in detail their personalities, qualities, attributes, how they communicated and expressed themselves.” from the report
Promoting independence
People were supported to make choices and take positive risks. Plans described what each person could do for themselves and their aims for the future.
“People were supported to take positive risks to aid their independence.” from the report
Meaningful activities
People took part in activities linked to their interests, including trips out, social clubs, shopping and visits with friends and relatives.
“People were supported to take part in activities they enjoyed, which helped people lead fulfilling lives.” from the report
Good leadership and checks
The home had regular quality checks and used feedback, accidents and incidents to identify improvements. Staff said managers were approachable and supportive.
“There was a quality monitoring system which helped to identify shortfalls, so action could be taken.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and support my relative's particular complex needs, and how often will their care plan be reviewed?
- 02How do you support people to take positive risks while keeping them safe and independent?
- 03How are medicines reviewed, especially medicines used to manage behaviour?
- 04What information would go with my relative to hospital, and would a hospital passport be prepared if needed?
- 05How would my relative's preferred activities, routines and communication needs be recorded and supported?
This was an unannounced planned inspection covering the home and care provided, with all five CQC questions rated Good; the previous rating was also Good. This explanation was written from the published report of 10 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 The Orchard
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
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.
- January 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 27 April 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.
Weigh the report against the rest
Fees, photos and reviews from families
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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.