CQC report explained · a residential care home
What the CQC found at Cherry Lodge Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Staff understood safeguarding and risk procedures, medicines were managed safely, staffing was sufficient and infection control arrangements were in place.
- Effective?
- Good
- This question was not assessed in this focused inspection.
- Caring?
- Good
- This question was not assessed in this focused inspection, although people told inspectors staff were kind and caring.
- Responsive?
- Good
- This question was not assessed in this focused inspection.
- Well-led?
- Good
- Inspectors found clear management arrangements, regular quality checks, staff support and opportunities for people, relatives and staff to give feedback.
What inspectors found, November 2021
Cherry Lodge Rest Home rated Good; inspectors found people safe and the home well-led, with a minor reporting issue identified.
This was an unannounced focused inspection on 24 September 2021. Two inspectors spoke with five people, one relative, four staff members and health and care professionals. They observed care and checked care plans, medicines records, staff files and management records.
The home was rated Good overall. Safe was rated Good, including staffing, medicines, safeguarding, risk management and infection control. People said they felt safe, staff were kind, and medicines were given on time.
Well-led was also rated Good. Inspectors found clear management arrangements, regular checks on care quality and staff who felt supported. Management was asked to ensure minor incidents were always reported to the local authority.
The previous overall rating was also Good, published on 30 October 2020. This inspection mainly looked at Safe and Well-led, rather than all five areas of care.
People felt safe
People and relatives told inspectors they felt safe. Staff had safeguarding training and knew how to report suspected abuse.
“People told us they felt safe and staff were kind and caring towards them.” from the report
Safe medicines practice
Medicines records included key information such as photographs, allergies and instructions for medicines given when needed. Staff had training and competency checks.
“People received their medicines on time and staff had undertaken competency checks to ensure they had the skills required to administer medicines.” from the report
Infection control
Inspectors were assured that the home used protective equipment safely, supported testing and visits, and had an up-to-date infection control policy.
“We were assured that the provider was using PPE effectively and safely.” from the report
Clear management
The home had a clear governance structure. Staff understood their roles, received regular supervision and said they felt supported.
“There was a clear structure of governance in place and staff told us they knew their role.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now check that every minor incident is reported to the local authority when required?
- 02What long-term improvements to the premises were planned, and what progress has been made?
- 03How are medicines staff competency checks kept up to date?
- 04How will you keep families informed about falls, other incidents and changes in healthcare needs?
This was a focused inspection of Safe and Well-led, including infection prevention and control; the other key questions were not newly rated in this report. This explanation was written from the published report of 9 November 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2020
Rated Good; inspectors found safe, caring support and improvements in reporting, risk checks and management.
The inspection was a focused follow-up visit on 17 September 2020. Inspectors spoke with people, a relative and staff. They reviewed care records, medicines records, recruitment files, staffing information and management records. They also checked infection prevention and control measures.
The home was rated Good for Safe and Well-led. Inspectors found that people felt safe, risks were assessed and reviewed, medicines were managed safely, and staff knew how to report safeguarding concerns. New systems were being used to identify patterns in accidents and incidents and reduce the chance of them happening again.
The overall rating improved from Requires Improvement to Good. The previous inspection found two breaches and problems with safeguarding records, accident reporting, audits and a legionella risk assessment. Inspectors found these improvements had been made and said the home was no longer in breach.
Safeguarding
Staff knew how to recognise and report abuse. Inspectors found that safeguarding concerns and incidents were referred to the relevant authorities in good time.
“At this inspection, we found improvements and all incidents or safeguarding concerns had been reported to the relevant authorities.” from the report
Managing risks
People had clear risk assessments and staff followed them. Inspectors saw staff supporting people safely with falls risks, eating and drinking needs and emergency evacuation plans.
“Staff were knowledgeable in people's individual risks. Clear risk assessments were in people's care plans and these were seen to be followed during the inspection.” from the report
Medicines
Staff received regular medicines training and competency checks. Records reviewed had no gaps, and medicines were stored correctly.
“A sample of Medicine Administration Record (MAR) sheets were reviewed and seen to have no gaps and were completed correctly.” from the report
Learning from incidents
The home had introduced a system to spot patterns in accidents and incidents. This helped staff put extra measures in place to reduce repeated falls.
“This enabled the management team to take action to reduce the chance of reoccurrence.” from the report
Management and involvement
Inspectors found regular audits and a positive culture. People and staff were involved in suggesting improvements and said they were listened to.
“People were fully engaged with the running of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now record and review safeguarding concerns, and how will you keep relatives informed if one occurs?
- 02How do you use accident and incident trends to prevent repeated falls or other injuries?
- 03How often are medicines records audited and staff competency checks completed?
- 04What is the current rating and evidence for Caring, Effective and Responsive, which were not assessed during this inspection?
- 05How will relatives stay informed and involved if infection control restrictions affect visits or communication?
This was a focused follow-up inspection of Safe and Well-led, including infection prevention and control; the other key question ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 30 October 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Cherry Lodge Rest Home
6 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- November 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2020Goodup from Requires improvementSafe: GoodWell-led: Good
- June 2019Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- January 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015Requires improvementSafe: Requires improvementEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- July 2011
Registered with the Care Quality Commission on 18 July 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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