Last updated: 10 February 2026
"Staff enjoy a supportive culture with meaningful activities, but poor safety awareness, unvetted new staff and training gaps create serious risks."
Staff were not consistently aware of their responsibilities to safeguard people from the risk of harm or abuse.
Staff we spoke to explained they enjoyed working at Orchard House, and that they would be supported by the service if they ever needed any additional support or had concerns.
We identified that on a number of occasions, staff had started into role without DBS (Disclosure and Barring Service) or identification checks to ensure they were a fit and proper individual to work with people.
Records we saw stated that staff had received training in epilepsy and use of rescue medication, but despite this some staff stated they had not and could not describe how they would administer this if needed.
Governance systems in place had failed to identify areas where the service was not operating safely and exposing people to a risk of harm.
We saw one example where a person had been supported by staff to attend a local theatre which had been a long-standing wish. Another person expressed that they were anxious to leave the service or go outdoors, so staff had planted up a nearby area of the garden.
Staff sometimes start work without background checks or proof of ID, so the team includes people who havent been fully vetted.
on a number of occasions, staff had started into role without DBS (Disclosure and Barring Service) or identification checks to ensure they were a fit and proper individual to work with people.
Training has serious gaps, like staff not knowing how to give seizure rescue meds or manage constipation risks even when records say they were trained.
Records we saw stated that staff had received training in epilepsy and use of rescue medication, but despite this some staff stated they had not and could not describe how they would administer this if needed.
Safety risks like poor infection control in the kitchen and delays getting painkillers at night make the job stressful and risky.
The kitchen was in a poor state of repair with degraded surfaces that could not be easily cleaned... support workers at the service were not trained to administer medicine and this was the responsibility of senior staff... at night.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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