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CQC report explained · a nursing home

What the CQC found at Cherry Orchard

Goodpublished 19 June 2021, 5 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks, safeguarding, staffing, medicines, accidents and infection control were managed safely. They found suitable PPE and effective measures to reduce infection risks.
Effective?
Good
People's needs were assessed before admission and care plans were reviewed monthly. Staff had training and supervision, and people received support with nutrition, healthcare and legal consent arrangements.
Caring?
Good
Inspectors saw staff treating people with kindness, respect and dignity. People and relatives said staff knew people's preferences and involved them in decisions.
Responsive?
Good
Care plans reflected people's needs, preferences and communication methods. The home provided activities, supported contact with relatives and had a complaints process.
Well-led?
Good
Inspectors found a positive, person-centred culture and systems for monitoring quality and safety. Staff said managers were approachable and listened to concerns.
The latest report, explained

What inspectors found, June 2021

Cherry Orchard rated Good; inspectors found safe, kind and personalised care, with effective infection controls and management systems.

This was a planned inspection on 1 June 2021. Inspectors spoke with people, relatives, staff and healthcare professionals. They observed care and reviewed care plans, medicines records, staff files and management records.

The home provides nursing or personal care for up to 40 people living with dementia. All 40 places were occupied during the visit. Inspectors found people were safe, treated kindly and involved in decisions about their care.

The home had suitable staffing, safe medicines systems, personalised care plans and good infection prevention measures. It also had systems to monitor quality and respond to accidents, complaints and changing needs.

What inspectors praised
  • Kind and respectful care

    People appeared comfortable with staff who knew them well. Inspectors observed staff explaining care, asking permission and respecting privacy.

    “We observed staff treated people in a kind, caring and respectful way.” from the report
  • Safe medicines

    Medicines were stored securely, given by trained staff and recorded electronically. The medication records reviewed had no gaps.

    “MARs we looked at did not have any gaps.” from the report
  • Personalised support

    Care plans included people's needs, preferences, communication methods and signs that they might become unwell. Relatives and people were involved in planning care.

    “People received personalised care which took account of their needs and preferences.” from the report
  • Infection control

    Inspectors were assured that the home used PPE effectively, maintained cleaning and followed arrangements for visits, testing and infection outbreaks.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Quality oversight

    The provider used audits and action plans covering medicines, health and safety, infection control, incidents and the building.

    “The provider had a robust system to monitor, assess and drive improvements to their service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and update my relative's care plan after they move in?
  2. 02How do you use your staffing dependency tool to make sure there are enough staff with the right skills for my relative?
  3. 03How will you support my relative's preferred communication method, language and activities?
  4. 04How do you check that medicines are given correctly and that records remain complete?
  5. 05What infection control and visiting arrangements would apply if there were an outbreak?

This was the first full inspection of the newly registered service, covering all five CQC key questions, with infection prevention and control specifically checked under Safe. This explanation was written from the published report of 19 June 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.

The story over the years

Every inspection of Cherry Orchard

4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. June 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cherry Orchard →

  2. June 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. May 2016Goodup from Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
  4. April 2015Requires improvement
    Safe: Requires improvementEffective: InadequateCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  5. November 2019

    Registered with the Care Quality Commission on 4 November 2019.

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.

Next steps

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Care at home

At least 100 live-in carers within about an hour of Barking and Dagenham

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Most charge £980 to £1,230 a week. 79 can care for a couple. 10 years' experience on average.

“She is a safe pair of hands and her years of experience certainly shine through.”
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