Background to this inspection
Updated
8 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Cherry Tree House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
The registered manager was unavailable on the day of our inspection but we were supported by a team leader and a regional manager.
Notice of inspection
Our inspection was unannounced and took place on 9 January 2020.
What we did before the inspection
Before the inspection, we reviewed relevant information that we had about the service including any notifications of safeguarding or incidents affecting the safety and wellbeing of people. A notification is information about important events, which the provider is required to tell us about by law. We also checked the last inspection report, the provider's action plan and requested feedback from social care professionals.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with the team leader, two regional managers and four staff. We also spoke with four people living in the home.
We reviewed documents and records that related to people’s care and the management of the service. We reviewed three people’s care plans. We also looked at staff recruitment and training records, quality audits, staff rotas and incident records.
After the inspection
We continued to seek further evidence and clarification from the provider, which we have included in the report. We also spoke with two relatives of people living in the home, for their feedback.
Updated
8 February 2020
About the service
Cherry Tree House is a residential care home providing personal care and accommodation to people with mental health needs. The service can support up to five people and at the time of the inspection, five people were living in the home. The service is a two-floor building. Each floor has separate adapted facilities.
People’s experience of using this service and what we found
People were safe in the home. The premises was maintained to ensure the environment was safe for people. The provider had followed up on recommendations we made at the last inspection to improve the safety of the home. Risks associated with people's needs were assessed. There were procedures to protect people from abuse and staff understood how to report abuse. People's medicines were managed safely. Staff followed infection control procedures. Accidents and incidents were reviewed to learn lessons to help prevent them from re-occurring. The home had enough staff at all times to provide support to people. Staff were recruited appropriately to ensure they were suitable.
Staff were kind and caring towards people. Staff understood the importance of promoting equality and diversity. However, we have made a recommendation about ensuring people's privacy and confidential information is respected at all times because we found staff did not always follow procedures in this area.
Staff were provided with training to ensure their skills and knowledge were up to date. Staff felt supported by the management team. They received regular supervision to monitor their performance.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People maintained their health and nutrition with balanced meals. The service worked in collaboration with health care professionals, such as GPs and physiotherapists to ensure their health needs were met.
People were supported to remain independent and lead a private life. They were involved in decisions made about their care.
People’s communication needs were assessed. People were supported to avoid social isolation and pursue their interests and take part in activities both inside and outside the home.
There was a procedure for people to make complaints about the home. There were quality assurance systems to monitor the safety of the home through audits, checks and obtaining feedback from people and relatives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.