Orchid Care Home

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• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We looked at 2 quality statements relating to safeguarding and safe and effective staffing. We saw systems and processes were in place to ensure people were safe. We found there were enough staff to meet people’s needs. Staff were trained in safeguarding and were confident about where to report any safeguarding concerns. People had been assessed for risks, such as falls, skin breakdown, choking and malnutrition and these risks were reviewed regularly. Advice was sought from other health professionals when needed. There were enough suitably trained staff to meet people’s needs.

This service scored 78 (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 Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

People told us they felt safe in the home and families felt their relatives were safe. Relatives said, 'If I have had concerns about various medical things, they have either been on the ball already or have put something in place.'

Staff demonstrated they were highly skilled at recognising when people felt unsafe and were confident to challenge and report unsafe practices. Staff told us, 'Safeguarding is mentioned in meetings, making sure everyone knows about safeguarding.' and 'Management complete spot checks to make sure everyone knows about safeguarding and how to report our concerns.' Leaders told us safeguarding is included in meetings, and staff knowledge and practice is routinely checked.

We observed people were supported in line with their risk assessments, for example risks around pressure ulcers for people were managed well. We saw staff followed the plans in place to manage pressure risks. We observed staff supporting people to eat and drink safely in line with their risk assessments.

Staff training records confirmed all staff and leaders had completed safeguarding training relevant to their role. Records showed the provider reported safeguarding incidents as required to relevant agencies and used these to learn lessons when things went wrong. People were safeguarded and their care needs been assessed for risks such as falls, skin breakdown, choking and malnutrition.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

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

Families said there were enough staff to meet their relative's needs, and their relative’s support and health needs were responded to in a timely way. Families said, 'Yes, it is excellent. They have a good ratio staff, they are very attentive, which they show in actions as well as words.' And 'They do respond to call bells; they are quite quick.' Relatives told us 'Staff were well trained and know what they are doing.' Relatives said staff were happy working in the home. Relatives said, 'they are always very cheerful, you never hear people moaning, they always can't do enough for you.' And ‘the staff seem happy, they are clearly working as a team, interacting, talking with each other and they help each other. It reflects everything.’

Leaders told us how they recruited and ensured the home was safely staffed. Staff felt there were enough staff around to complete their tasks. Staff said, 'we have time for everything.’ Staff said they were trained and were given opportunities to do extra training to maintain their nursing professional registration or to gain additional knowledge. One staff member told us they had signed up for resilience supervision, to enhance the way they delivered and supported supervisions for other staff members, so that staff feel motivated about their job. We heard new staff had an induction to help them understand their role and about the home. One staff said, 'I had the best induction in many years with training specifically on care planning and medication.'

We observed support to be offered to people in a calm, respectful and unhurried way. We saw staff responding to call bells in a timely manner. We saw people were given opportunities to join in with a range of activities including day trips, swimming, and looking after the home pets.

Processes were in place to ensure the service was staffed safely. Routine audits were made of the service’s staffing dependency tool to ensure there were enough staff in the service. Staff had completed their mandatory training and received regular supervision. Additional training was arranged where gaps in staff knowledge had been identified. For example, training around mealtime support to provide staff with an understanding around how to support people with their meals safely and with dignity.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.