Orchard Grove Reablement Centre Also known as Saffron Care Home

Updated 28 November 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Orchard Grove Reablement Centre is registered to provide personal care and accommodation for up to 24 people. At the time of our inspection five people were being supported at the service.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 06 November 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 28 November 2020

The inspection took place on 5 June 2018. At our last inspection in May 2017 the service was incorporated into the registration of the adjoining nursing home, Saffron Gardens and the service was rated Requires Improvement. However, the shortfalls we found related to the nursing home rather than the reablement part of the service. In December 2017 the registrations were separated in to the reablement centre and the nursing home. This was the first inspection of the service under the new registration arrangements. The service can accommodate 24 people. At the time of our inspection 15 people were being supported at the service.

The inspection was unannounced and took place on 19 June 2018.

Orchard Grove is a reablement centre. People attend the service for packages of care to support them in returning to their own home. Nursing care is provided along with rehabilitation provided by Occupational Therapists and Physiotherapists. On the lower floor of the centre, therapy staff were provided by Bristol Community Health. On the second floor therapists were self-employed but paid for by the provider.

We found that the service was safe. People told us they felt safe and well supported. People told us that staff came to help them promptly when they used their call bells and that there were always staff available when needed. The manager had identified some issues with medicines administration and had plans in place to address them.

The service was effective. Staff were positive about the training and support they received and had regular supervision to support their development. The building was well suited to its purpose. There was a gym located on the second floor to support people in their rehabilitation. Overall people were well supported to meet their rehabilitation goals. People had the support of regular GP visits to the service. Feedback from GP’s was positive about the support people received.

Staff were kind and caring and treated people with respect. People commented positively about staff telling us they were able to share jokes and laughter. People’s views and opinions were sought in order to help the provider monitor what was working well and identify areas for improvement.

The service was responsive to people’s individual needs. There was a process of assessment prior to people coming to the service to ensure their needs could be met. People’s progress was monitored closely and discussed in multi-disciplinary meetings. There were activities taking place for people to take part in if they wished to do so. This included an art club and a visiting organisation specialising in activities for older people. There was a process in place for responding to complaints. These were investigated thoroughly and a response provided to the individual concerned.

The service was well led. There was a manager in place who was in the process of registering. The manager was well supported by senior staff within the organisation. There was an open and transparent culture within the service. Staff felt able to discuss issues or concerns and were confident they would be listened to.