• Care Home
  • Care home

Cherry Blossom Manor

Overall: Good read more about inspection ratings

German Road, Bramley, Tadley, Hampshire, RG26 5GF (01256) 886436

Provided and run by:
Barchester Healthcare Homes Limited

Latest inspection summary

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Background to this inspection

Updated 24 November 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by an inspector, an inspection manager and a member of the CQC medicines inspection team working on-site and two assistant inspectors working off-site. The CQC medicines team is made up of a mixture of pharmacists and pharmacy technicians. The assistant inspectors spoke with staff by telephone. An Expert by Experience spoke with people’s relatives off-site. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Cherry Blossom Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced. We contacted the service prior to entry to ensure there was no-one isolating with confirmed or suspected Covid-19 and to ensure the inspectors complied with the service’s policy on the use of personal protective equipment.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and seven relatives about their experience of the care provided. We spoke with 21 members of day and night staff, including care staff, nurses, the registered manager and members of the provider’s senior management team. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. These included eight people’s care records, 15 medicine administration records and 14 medicines related care plans. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. A further four relatives and thirteen staff contacted CQC to provide their written feedback on the service. We also spoke with a professional who regularly visits the service.

Overall inspection

Good

Updated 24 November 2020

About the service

Cherry Blossom Manor is a nursing home providing personal and nursing care to 73 people at the time of the inspection. The service can support up to 77 people.

The two-storey building is spacious and purpose-built. People live in one of three communities. Wellington and Silchester, which provide residential and nursing care. People living with dementia are cared for in the Memory Lane Community.

People’s experience of using this service and what we found

People were safe from the risk of abuse. People told us there were, “nice staff” and they were, “treated well.” Potential risks to people were assessed and managed. The majority of people and staff felt there were enough staff. We observed there were enough suitable staff to support people safely and to meet their needs.

Medicines were being managed safely at the home. We have made recommendations about ensuring all medicines are disposed of in a timely manner and to review medicines care plans. People were protected from the risk of acquiring an infection. Lessons were learnt following any incidents.

Overall there was a very positive working culture. A minority of staff were not as positive about the culture as their colleagues. The provider was already aware and addressing this for people. There was a clear governance framework and the registered manager had a good understanding of their role. Processes were in place to seek feedback on the service from people and staff. Relatives told us, “The service is excellent” and “They [staff] understand his needs better than we do. It’s a pretty good quality of life.” There was a focus on monitoring, learning and improving. The home worked in partnership with other agencies.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 15 March 2019).

Why we inspected

We had received concerns in relation to: risk management, medicines, staffing, infection control and management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cherry Blossom Manor on our website at www.cqc.org.uk.

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.