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What the CQC found at Cherry Trees Resource Centre

Outstandingpublished 28 August 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection prevention and control arrangements. They were only somewhat assured about some hygiene arrangements and PPE stations.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Outstanding
This question was not assessed in this targeted inspection.
Responsive?
Outstanding
This question was not assessed in this targeted inspection.
Well-led?
Outstanding
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured about most infection controls, but some hygiene and PPE stations lacked equipment.

This was an announced, targeted inspection on 18 February 2021. It looked only at infection prevention and control because of the coronavirus outbreak response.

Inspectors were assured about visiting arrangements, social distancing, safe admissions, PPE use, testing, outbreak management and the infection control policy. Staff had extra COVID-19 and infection control training, and people who tested positive were isolated in their bedrooms.

Inspectors were only somewhat assured about the layout and hygiene of the building. Some bathrooms and toilets did not have handwashing posters, and some PPE stations did not have hand sanitiser or bins. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Safer family visits

    The home had installed a visitors' booth to allow families to visit with less risk. Families could also use Skype to stay in contact.

    “The provider had installed a visitors' booth in the building which meant that families could have a comfortable visit with minimal risk.” from the report
  • PPE training and use

    Staff had training in using PPE, and inspectors saw PPE available throughout the home and used according to current guidance.

    “Staff had received training in applying and removing personal protective equipment (PPE). We saw PPE was accessible throughout the home and staff used it in accordance with the most up to date guidance.” from the report
  • COVID-19 testing

    Testing was carried out for staff and people living at the home. Vaccinations had been given or scheduled.

    “COVID -19 testing for all staff and people at the service was conducted.” from the report
  • Extra cleaning

    The home carried out extra cleaning of areas that people touched often.

    “Additional cleaning of high-touch areas, such as light switches and door handles, was completed.” from the report
What inspectors were concerned about
  • Some hygiene stations were incomplete

    needs fixing

    Some bathrooms and toilets lacked handwashing posters. Some stations for putting on and removing PPE lacked hand sanitiser and bins for used PPE.

    “Some of the bathrooms and toilets did not have display posters promoting handwashing. Some donning and doffing stations in the building lacked hand sanitisers and bins for PPE disposal.” from the report
Questions to ask them, based on this report
  1. 01Have the missing handwashing posters now been put up in every bathroom and toilet?
  2. 02Do all PPE stations now have hand sanitiser and suitable bins, and how often are they checked?
  3. 03How are visitors currently able to see residents, and are alternative contact methods still available?
  4. 04How often are staff and residents tested for COVID-19, and what happens if someone tests positive?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 30 March 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.

An earlier report, explained

What inspectors found, August 2019

Cherry Trees Resource Centre was rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.

This was an unannounced planned inspection on 10 and 11 July 2019. Inspectors spoke with people, relatives, staff and a visiting professional. They also observed care and checked care, medicine, recruitment and management records.

People were described as receiving exceptional, personalised support. Staff respected people's identity, culture and communication needs. People and families were involved in care decisions, activities and reviews.

The home was clean and safe, staffing appeared sufficient, and medicines were generally managed properly. People had access to healthcare, personalised food and meaningful activities. Two medicines were slightly overstocked because of a recent pharmacy change, but this was being addressed.

The overall rating improved from Good at the previous inspection to Outstanding. Caring, responsive and well-led were rated Outstanding, while Safe and Effective remained Good.

What inspectors praised
  • Kind and individual care

    Staff were described as exceptionally caring and respectful. They took time to understand people's personal histories, identities and relationships.

    “People received exceptional care and support from a staff team who valued and celebrated individuality and diversity.” from the report
  • Inclusive communication

    Staff used translators, technology, picture cards, gestures and people's own languages or dialects to help them express choices and take part in decisions.

    “People's individual communication needs were assessed, and a range of communication methods had been used to support people to share their views and be involved in making decisions.” from the report
  • Meaningful activities

    Activities reflected people's interests, backgrounds and cultural needs. These included gardening, community events, music, school links and themed celebrations.

    “There was a focus on meaningful fun, engagement and reminiscence.” from the report
  • Strong leadership

    Inspectors found an open culture, clear accountability and regular quality checks. Feedback from people, families, staff and professionals was very positive.

    “Governance was well embedded in the management of the service and there was a strong focus on accountability, continuous improvement and exceeding expectations.” from the report
  • Good safety arrangements

    The home monitored risks, kept the environment clean and used incidents to reduce future risks. Inspectors found that people did not have to wait for support.

    “Observations were that people did not need to wait for any support and staff were able to spend with people in a relaxed and unhurried manner.” from the report
What inspectors were concerned about
  • Medicine stock levels

    minor

    Two medicines were slightly overstocked after a change of pharmacy. The report says the issue was being addressed.

    “It had been identified that two medicines were slightly overstocked due to a recent change in pharmacy. This was being addressed.” from the report
  • Delay in DoLS assessments

    needs fixing

    Applications had been made, but the managing authority had not yet assessed some applications and had issued holding letters.

    “DoLS applications had been made and 'holding' letters received from the managing authority due to a delay in assessing applications.” from the report
Questions to ask them, based on this report
  1. 01How was the overstocking of two medicines resolved after the pharmacy change?
  2. 02Are any of the current residents still waiting for a formal DoLS assessment, and how are their rights protected while they wait?
  3. 03How would you support my relative if they communicate in a language other than English or cannot communicate verbally?
  4. 04Which activities and cultural events would be available for my relative based on their interests and background?
  5. 05How would my family be involved in reviewing and updating my relative's care plan?

This was an unannounced planned inspection covering all five key questions, and the report says both the premises and the care provided were looked at. This explanation was written from the published report of 28 August 2019 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 Trees Resource Centre

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Cherry Trees Resource Centre →

  2. August 2019Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Cherry Trees Resource Centre →

  3. December 2016Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2014Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2011

    Registered with the Care Quality Commission on 16 February 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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