We carried out a review of the data available to us about Orchid Villa on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Orchid Villa, you can give feedback on this 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.
We found the following examples of good practice:
• Staff were wearing the required personal protective equipment (PPE); donning and doffing PPE correctly and disposing of used PPE safely and in line with the relevant national guidance.
• The home had a testing programme in place to frequently test staff and residents.
• The home was clean and hygienic. Cleaning schedules had been reviewed and enhanced and frequent cleaning was carried out throughout the day.
• The home had built a screened and self-contained pod with an intercom system to enable relatives to safely visit their loved ones. Visitors did not need to enter the home to access the pod and there were systems in place to manage this safely.
• Relatives had also been supported to safely visit their loved ones in exceptional circumstances in line with the national guidance. For example, when a person was approaching the end of their life.
Further information is in the detailed findings below.