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CQC report explained · a nursing home, run by CareTech Community Services

Orchard House

Ashton Road, Hartwell, Northampton, NN7 2EY

Outstandingpublished 24 January 2024, 2 years ago

Rated Outstanding: inspectors found the service performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, medicines, staffing, recruitment and infection control were managed safely.
Effective?
Outstanding
This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Caring?
Outstanding
This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Well-led?
Outstanding
Inspectors found exceptional leadership, an open culture, strong quality monitoring and a clear focus on improving people's outcomes.
The latest report, explained

What inspectors found, January 2024

Rated Outstanding; inspectors found safe care and exceptional leadership after checking concerns about medicines and staff conduct.

The inspection was unannounced and took place over five days in October 2023. Inspectors spoke with people living at the home, relatives and staff. They reviewed care, medicines, recruitment, complaints and management records.

The inspection was prompted partly by concerns about medicines and staff conduct. Inspectors found no evidence that people were at risk of harm from these concerns. Medicines were managed safely, risks were assessed, and there were enough suitably trained staff.

The home was rated Good for Safe and Outstanding for Well-led. The overall Outstanding rating also used ratings from the previous comprehensive inspection because this inspection only looked closely at Safe and Well-led.

What inspectors praised
  • Safe medicines and staffing

    Medicines were safely received, stored, given and disposed of. Staff were trained and assessed before administering medicines, and the home had enough suitable staff.

    Safe protocols for the receipt, storage, administration and disposal of medicines were followed.from the report
  • People's voices

    People and staff helped shape the home through meetings, feedback and involvement in recruiting staff. This led to changes such as improved welcome packs and exercise equipment.

    New and innovative ways of gathering feedback from people had led to service improvements and ensured people's voice was heard.from the report
  • Person-centred support

    People were involved in their care plans and encouraged to work towards personal goals. Inspectors saw examples of support helping people progress with rehabilitation and return home.

    People were fully involved in developing their care plans and constantly encouraged by all staff to reach their goals however big or small.from the report
  • Learning and improvement

    The home reviewed accidents, incidents and complaints, and used what it learned to improve care and communication. It also developed new rehabilitation and health programmes.

    The provider had created an exceptional learning culture at the service which continuously improved the care people received.from the report
  • Open management

    Inspectors found an open, inclusive culture where people, relatives and staff could raise concerns and suggest improvements. Quality systems were used to identify and act on shortfalls.

    There was an exceptionally positive, open and inclusive culture at the service.from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you make sure medicines remain safely managed, including medicines given only when needed?
  2. 02How are people with acquired brain injuries involved in setting and reviewing their rehabilitation goals?
  3. 03What changes have resulted from the Resident Voice meetings and feedback from families?
  4. 04How will families be involved in the planned family support group and in reviewing the service?
  5. 05How do daily safety meetings identify and act on accidents, complaints or safeguarding concerns?

This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried over from the previous inspection. This explanation was written from the published report of 24 January 2024 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.

The story over the years

Every inspection of Orchard House

3 rated inspections over 7 years: the service has improved, from Good to Outstanding.

  1. January 2024Outstandingcurrent ratingstayed Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Orchard House

  2. December 2019Outstandingup from Good
    Safe: GoodWell-led: Outstanding

    We are reading this report · the original is on cqc.org.uk

  3. April 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2016

    Registered with the Care Quality Commission on 4 March 2016.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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