Orchard House Care Centre

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed 1 quality statement within this key question. People’s needs were assessed prior to moving to the home. These assessments informed the development of care and support plans to help ensure care was delivered in line with current standards to achieve effective outcomes. However, on review of people’s care records we found not all people had detailed care plans and risk assessments in place. This meant we could not be assured people would be provided with the care they required in a timely way to support people to live healthy lives. Staff worked well together and with professionals external to the service for the benefit of people. External health professionals felt they were contacted appropriately, and any recommendations made were followed by staff. People were mostly satisfied with the care they received.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

Most people felt their health needs were met and told us they could see medical staff if needed.

Nursing and care staff generally understood people’s health needs and staff confirmed access to relevant training to meet people’s health needs, including glucometer training, catheterisation and skin care. Care staff stated they had time to meet people’s needs and said they had sufficient information about people. They told us they could check in the care plans which were accessible to them.

In some care plans, specific information about managing known health needs was not included. This was particularly noted in people who had been discharged from hospital for a short-term assessment period. We found these people did not have detailed care plans and risk assessments in place, which meant some of their needs were not documented. We could not, therefore, be assured people would be provided with the care they required in a timely way. For example, one person was given food that could impact on a health condition. This had not been identified by the staff. Where people were at risk of dehydration, fluid intake was not being reviewed appropriately to ensure people received adequate support. We could not be assured staff were provided with sufficient information to support them and to anticipate people’s needs or mitigate risks in a timely way. The above concerns were discussed with the registered manager who undertook to address the issues identified. We saw evidence in people’s care records they were referred to health professionals when needed and their guidance was followed by staff to meet their needs.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.