England

The OrchardHerefordshire, County of

Illustrative image. Photographs of this home have not yet been added.

Rated:GoodResidential

The Orchard

Ganarew, Monmouth, NP25 3SS

01600891450

Care Type

Residential Care

Inspection date

21 January 2020

Provider

Milkwood Care Ltd

Beds

16 beds

How this home compares nearby

Of 11 care homes for older people within 10 miles, 3 are rated higher by CQC, 8 are the same and none are lower.

7 of these nearby homes have been inspected more recently than this one.

Based on CQC ratings, updated 22 October 2026. How we compare homes | See the nearby homes

Rating history

GoodMar 2018
Requires ImprovementJan 2019
GoodFeb 2020

Improved from Requires Improvement to Good in 2020. CQC has rated this home 3 times since 2018.

Source: CQC inspection reports. Contains CQC data licensed under the Open Government Licence v3.0.

Costs and who runs this home

Run by Milkwood Care Ltd, which runs 8 care homes in England: 1 rated Outstanding, 6 Good and 1 Requires Improvement.

Average care home fees in the West Midlands: £912 a week for residential care and £1,308 for nursing care (2024-25 averages). Self-funders usually pay more. See our care home costs guide.

This home lists dementia care, which usually costs more than standard residential care. See dementia care home costs. NHS Continuing Healthcare may apply where someone's needs are primarily health needs.
How to pay for a care home explains the council means test, what counts as capital and the funding you can ask to be assessed for.

About The Orchard

The Orchard is a residential care home in Herefordshire, offering support to people including those living with dementia. Details of the Care Quality Commission's most recent inspection findings are set out below.

The Orchard provides residential care with personal support for up to 14 people, including those living with dementia, across two floors of a modern, purpose-built building. At inspection, 11 people were living there. Staff receive training in safeguarding and abuse reporting, with procedures in place to identify and manage risks to residents.

The home maintains adequate staffing with appropriate skills to meet care needs safely, and staff receive ongoing training and management support. Medicines are managed safely and prescribed as directed, while infection control measures protect residents. People are supported to maintain balanced diets and enjoy mealtimes together, with staff liaising with community healthcare professionals to monitor and meet residents' health needs.

The provider learns from any accidents or incidents that occur.

Source: CQC inspection report, 12 February 2020

Specialist Care

DementiaMental healthOlder peoplePhysical disabilitiesSensory impairmentsYounger adults

Fees and availability

We have not verified a current weekly fee for this home. Ask for a written quote based on the room and care needed, including any extra charges.

Check current vacancies, the admission assessment and visiting arrangements directly with the home.

Care and inspection details

Checked against the CQC register on 21 September 2026. This is a check of published information, not a visit to the home.

Registered service: Care home service without nursing
Registered capacity: 16 places — this is not a vacancy count
Registration checked: Registered · NP25 3SS

Registered care categories

Caring for adults over 65 yrs; Caring for adults under 65 yrs; Dementia; Mental health conditions; Physical disabilities; Sensory impairment.

These describe the registration. The home must assess whether it can meet the individual person's needs and whether a place is available.

CQC ratings in more detail

Overall rating shown by CQC: Good.

Rating report published 12 February 2020. Latest inspection date recorded: 21 January 2020.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-led: Good

Read The Orchard's CQC record and reports.

Contains Care Quality Commission information under the Open Government Licence v3.0. Ratings and registration details can change after the date checked.

5 Questions to Ask on Your Visit

When visiting The Orchard, consider asking...

1.What specific dementia training do staff receive and how recently?
2.How do you support a resident who becomes distressed or confused?
3.How does the home keep a record of a resident's life history and personal preferences?
4.How do you involve families as dementia progresses and communication becomes harder?
5.What happens when a resident's dementia reaches an advanced stage?

5 Things to Look For on Your Visit

When you visit The Orchard, look out for...

1.Is the environment calm, uncluttered and easy to navigate?
2.Do staff speak to residents with patience and dignity, even if they repeat themselves?
3.Are there memory cues around the home -- photos, familiar objects, clear signage?
4.Do residents seem settled and safe, or agitated and unsupervised?
5.Is there meaningful activity happening, or are residents just sitting quietly with nothing to do?

Could the NHS fund The Orchard's fees?

The average nursing home costs £1,535 per week. That's £79,820 a year. NHS Continuing Healthcare could cover all of it. No means test, no contribution from you.

Find out if the NHS could fund these fees