The Orchards Residential Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

In this key question we looked at two quality statements relating to the governance, management and sustainability of the service, and capable, compassionate and inclusive leaders. Governance systems were in place to ensure the service ran safely and effectively and leaders had the skills and knowledge to ensure the service ran safely and effectively.

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 Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff spoke positively about the manager of the service. Staff described the manager as “very good, approachable and fair”. Staff told us the manager was supportive.

Staff in leadership positions and the manager had completed additional training which was suitable for their role. Deputy managers and team leaders had completed relevant external qualifications in health and social care leadership. Team leaders had also completed supervision training, observation training, how to assess competencies, and medication ordering training.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The manager explained the procedures in place relating to the management of the service: “We complete lots of quality assurance checks, including audits, walkarounds, ‘resident of the day’ - where we monitor and update a person’s care plan, we have a service improvement plan in place. We also have a maintenance plan. We complete notifications [to the Care Quality Commission], we have budget meetings, we attend the monthly provider call with [the local authority] and attend the activities forum which is a new initiative.” Staff we spoke with told us governance systems worked well.

Processes were in place to ensure the service ran safely and effectively. The provider met their legal duty to notify CQC where appropriate, for example when there was a serious injury or when a person passed away. The manager completed regular audits to check the health and safety, infection control practices, and governance systems. Additionally, there was a ‘governance oversight template’ which the manager used to record actions around different aspects of the service. These systems were effective in driving improvements within the service as we saw progress had been made following actions being recorded.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.