Orchid Villa

Updated 14 April 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by two inspectors, a medicine inspector, a specialist nurse advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Orchid Villa is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Orchid Villa is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there were two a registered manager in post. One registered manager was registered for the regulated activity of ‘Accommodation for people who require nursing or personal care’ and the other registered manager was registered for the regulated activity ‘Treatment of disease, disorder or injury’.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We visited the service and reviewed staffing levels and walked around the building to ensure it was clean and a safe place for people to live.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with three people who use the service and nine relatives and 12 members of staff including the registered managers, area director, compliance officer, clinical lead, nurses, care workers, auxiliary workers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records including eight people's care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were examined.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records and other supporting information provided by the service. We contacted families for additional feedback about the service.

Updated 14 April 2022

About the service

Orchid Villa is a care home providing personal and nursing care to up to 34 people. The service provides support to people living with dementia requiring nursing care. At the time of our inspection there were 31 people using the service.

Orchid villa is a purpose build single story building set within the Grosvenor Villas complex of care services. People have their own bedrooms and some bedrooms have en-suite facilities. There are a variety of communal areas including living, dining and outside areas and adapted bathrooms. The main kitchen and laundry services are shared with other services on site.

People’s experience of using this service and what we found

People felt safe living at Orchid villa. When things went wrong action was taken to reduce the risk of reoccurrence. There was regular checks of equipment and the environment to ensure it was safe. The home was clean and tidy, and staff used PPE correctly to protect people from the risk of infection spreading. Suitable recruitment processes were being followed and there were enough staff to meet people’s needs. People were safely supported to take their medicines. We have made a recommendation about paperwork used to record when people receive medicines they required as and when.

People had their needs assessed and reviewed regularly. Referrals were made to appropriate health care services for specialist advice and this was incorporated into care plans. People were supported to maintain a healthy diet and drinks and snacks were provided throughout the day. The service had implemented some adaptions to meet the needs of people living with dementia and further improvements of the premises was planned. Staff felt well supported and trained to undertake their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were supported to make choice around their daily lives and, where they were subject to restrictions, appropriate assessments and referrals were made.

People felt staff were kind and caring and their dignity was promoted. We observed staff support people to maintain independence and promote choice. Staff knew people well and understood their care needs and preferences.

Care records were person-centred and reflected people’s needs and preferences. The service was in the process of moving from paper based to electronic recording systems. A new wellbeing programme was due to be implemented shortly after our visit to promote activities and interests, community links and wellbeing. Relatives were supported to visit their family member safely. Staff had a good understanding of how to meet the needs of people when they approached the end of their life.

The registered managers and management team worked closely together and had a good understanding of their roles and responsibilities. There were systems to check the quality of the service through audits, and meetings with staff and relatives were undertaken to obtain feedback about the service. The provider and registered managers were committed to driving improvements in the home and were responsive to feedback given.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 02 April 2019 and this is the first five domain inspection.

The last rating for the service under the previous provider was Requires improvement (published on 29 December 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. The first day of inspection was undertaken to review processes for infection prevention and control. Following this, a decision was made to complete an inspection of the five domains and provide a rating of the service under the Health and Social Care Act.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.