We carried out a review of the data available to us about Orchard Manor View on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Orchard Manor View, you can give feedback on this service.
We found the following examples of good practice.
¿At the time of the inspection arrangements had been made for visits with family to take place in line with Government guidelines. People had also been supported to maintain contact with families and friends through video and telephone calls.
¿The service had been divided into zones with dedicated staff teams allocated to reduce the number of different staff that people are exposed to. The large communal dining room had been arranged to offer people an opportunity to socialise in a safe space.
¿Personal protective equipment (PPE) was readily available throughout the home; appropriate donning and doffing areas were seen and PPE was observed to be worn by staff in line with current government guidance.
¿Staff and people living at the service continued to receive a Covid 19 test as part of the Governments whole home testing scheme. This enabled the provider to respond swiftly to any Covid positive tests and to take appropriate action.
¿All staff were supported with individual risk assessments. This included consideration of staff from black, Asian and minority ethnic groups or those who had existing health conditions, to ensure they were supported effectively.
¿There was a core group of staff available to support the people living at the home, no external staff had been required which reduced the risk of transmission of the infection.
¿The manager had increased provisions for cleaning throughout the day and implemented cleaning schedules that included more regular and deeper cleaning of the whole home.
Orchard Manor View is a residential care home, providing personal care for up to 30 people aged 55 and over who may also be living with dementia. At the time of the inspection 19 people were using the service. Accommodation is provided over the ground and first floors with all rooms having access to ensuite facilities.
People's experience of using this service and what we found
All the people and relatives we spoke with commended the home. People felt safe and well cared for. People's preferences were respected, and staff were sensitive and attentive to people's needs. Staff were seen to be kind, caring and friendly and it was clear staff knew people and their relatives well.
There were sufficient numbers of staff employed to ensure people's needs were met. We saw staff had time to engage people in conversation.
Recruitment practices were safe and staff received the training they required for their role.
Risks to people's health, safety and well-being were assessed and care plans were in place to ensure risks were mitigated as much as possible.
Staff were aware of their responsibilities to safeguard people and the home had robust procedures in place.
People's care plans contained personalised information detailing how they wanted their care to be delivered.
Staff were keen to ensure people's rights were respected including those related to their ethnicity and dietary requirements.
People received their medicines safely and as prescribed. Medicine management practices were safe.
The service was provided in a homely and clean environment.
Consideration was given to providing a variety of leisure and social activities for people to enjoy.
Quality assurance systems were in place to assess, monitor and improve the quality and safety of the service provided.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (report published 03 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Orchard Manor View provides accommodation and personal care for up to 23 adults. The service is situated close to the centre of Leicester and has 21 single bedrooms and 2 larger rooms for couples, all with en-suite facilities. All areas of the service and gardens are wheelchair-accessible. At the time of our inspection, there were 19 people using the service, many of whom were living with dementia.
This was our first inspection of the service since they registered with us.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
There were good systems and processes in place to keep people safe. Staff knew how to recognise the potential signs of abuse and what action to take to keep people safe. Assessments of risk had been undertaken and there were clear instructions for staff on what action to take in order to reduce the risk of harm to people.
People's medicines were managed in a way that kept them safe. People received the medicines they needed when they needed them.
There were enough staff to provide safe and effective care for people. Staff had the time to provide both one-to-one and group support for people.
Staff were skilled in meeting the needs of people living with dementia. Staff had completed training and qualifications they needed and used this knowledge to provide people with safe and effective care. People were supported to maintain their health and well-being. Staff made use of a range of health professionals and supported people to follow healthcare advice when needed.
Staff recognised their responsibilities to support people with decision making in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People's care plans reflected people's choices and ability to make decisions and these were reviewed regularly.
Staff were kind, respectful and compassionate to the people who used the service. People told us they felt staff respected their dignity.
People's care plans were person centred and written in a way that described their individual care needs, preferences and likes and dislikes. These were regularly reviewed and changes made where required. Staff knew people well and used the information they had about people's interests to tailor their support.
People could choose how to spend their time. There was support for people to take part in a range of activities to pursue their hobbies and interests.
The provider had a complaints policy and encouraged people and their relatives to express concerns and complaints in order to bring about improvements in people's care. Staff were supported to advocate for people if they had any concerns.
Staff told us they felt supported in their roles and the registered manager provided staff with clear guidance and leadership. The registered manager and the provider operated an open culture in the service where people, relatives and staff were encouraged to shared their views and ideas about their care and the service.
The registered manager assessed and monitored the quality of care provided. They used outcomes of audits and checks to identify improvements as part of their commitment to develop the service and ensure people received quality care.