Orchard House Nursing Home

People and relatives told inspectors they felt safe. Staff knew how to recognise and report abuse, and risks such as falls and pressure wounds were assessed and managed.

“People were safeguarded from abuse and avoidable harm.” from the report

Medicines were administered, recorded and stored safely. A new electronic medicines system helped staff identify when time-critical medicines were due.

“People were supported to receive their medicines safely.” from the report

Inspectors found effective infection prevention and control arrangements and a clean, hygienic home.

“One person told us, the home was "scrupulously clean.” from the report

People, relatives and staff said they could speak openly with the manager and felt listened to. Relatives said they were kept updated about changes in people's health.

“There was a positive and open culture at the service.” from the report

The home had a development plan and regular staff training. Staff were supported to refresh their skills and ask for further training.

“Staff were encouraged to learn and improve their skills.” from the report

The home recorded incidents but did not analyse them to identify patterns that might help prevent problems or improve care.

“Data was collected about incidents, but this was not analysed to identify any potential patterns which may support prevention or further improvement.” from the report

Some records contained old information and current information was difficult to find. One person's repositioning chart was not completed correctly.

“People's care records contained a lot of old information and the way information was presented made it difficult to locate up to date current information.” from the report

Managers reviewed people's individual needs, but did not bring this information together in a formal tool to check that staffing levels responded to changing needs.

“This information was not collated in a formal dependency tool to ensure staffing levels were appropriate and responsive to changes in people's needs.” from the report

The window restrictors did not follow best practice guidance during the visit. Suitable restrictors were fitted after the inspection.

“Following our site visit the operations manager arranged for appropriate restrictors to be fitted” from the report