CQC report explained · a nursing home
What the CQC found at Cherry Trees
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks, medicines, staffing, recruitment, infection control and lessons from incidents were managed appropriately.
- Effective?
- Good
- This question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Caring?
- Outstanding
- This question was not inspected during this focused visit. The report nevertheless describes staff as caring and supportive and says person-centred care was promoted.
- Responsive?
- Good
- This question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- The management team worked well together, used audits to improve care and involved people, relatives, staff and other professionals.
What inspectors found, August 2023
Rated Good; the focused inspection found safe care, kind staff and effective management, with no evidence that the reported concerns had harmed people.
Inspectors made an unannounced visit on 1 August 2023. They spoke with people, relatives, staff and a health professional. They reviewed care records, medicine records, staff recruitment files and management records.
This was a focused inspection because concerns had been raised about leadership, medicines, meeting people's needs and care risks. Inspectors looked only at Safe and Well-led. They found people were protected from abuse, risks were managed, medicines were given as prescribed, staffing was sufficient and the home was clean and maintained.
Inspectors also found caring and supportive interactions. The management team used audits, worked with other professionals and acted on issues promptly. The overall rating stayed Good. Ratings for the other areas were carried forward from the previous inspection in 2019.
People felt safe
People told inspectors they felt safe. Safeguarding systems were in place and staff knew what to do if they suspected abuse.
“People were safeguarded from the risk of abuse.” from the report
Medicines
People received medicines as prescribed. Staff were trained and checked whether people needed pain relief.
“People received their medicines as prescribed and by staff who were trained and competent to administer medicines safely.” from the report
Staffing and recruitment
Inspectors found enough staff to respond promptly. The recruitment files checked contained appropriate pre-employment checks.
“There were enough staff available to respond to people in a timely way.” from the report
Kind, person-centred care
Inspectors saw staff treating people with care and support. Staff involved people in their care and encouraged independence.
“Person centred care was promoted throughout the home, and we observed staff interacting with people in a caring and supportive way.” from the report
Management and improvement
The management team worked together and used audits covering medicines, care planning and incidents. Problems found through audits were corrected promptly.
“Where issues were identified they were corrected in a timely way.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you check that medicines given as required, including pain relief, are still being recorded and reviewed correctly?
- 02How often are people's risk assessments and care plans reviewed when their needs change?
- 03What staffing levels are planned for each unit, and how do you respond if staff are unavailable?
- 04What actions have resulted from your medicines, care planning and accident audits since the inspection?
- 05How do you keep the home prepared for preventing and managing infection outbreaks?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection published on 8 November 2019. This explanation was written from the published report of 18 August 2023 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, March 2021
Inspected but not rated; inspectors were assured about infection control, with minor issues promptly rectified.
This was an announced, targeted inspection on 24 February 2021. It focused on how the home prevented and controlled COVID-19 infections, rather than giving a full assessment of the service.
Inspectors found systems for safe visiting, testing, isolation, use of protective equipment, cleaning and social distancing. Staff had infection control training, and the home was clean with no bad smells.
The inspectors said they were assured about the infection control arrangements. They found some minor issues during the visit, but these were fixed promptly. The service was inspected but not rated, so this report does not give an overall quality rating.
Keeping relatives in contact
The home provided several ways for relatives to visit or communicate, including a garden pod, window visits, telephone calls and video calls.
“Window visits, telephone and video calls were also available to assist people to keep in contact with their relatives.” from the report
Visitor precautions
Essential visitors were screened for symptoms and asked to sanitise their hands, wear a mask and have their temperature checked.
“On arrival to the home, essential visitors were asked to complete and sign a screening form regarding COVID-19 symptoms” from the report
Testing and protective equipment
People living in the home were tested monthly and staff were tested three times a week. Staff had training in infection control and using protective equipment.
“Tests for COVID-19 were carried out monthly for people living at the service. Staff were tested three times a week.” from the report
Clean environment
Inspectors found the home clean and free from bad smells. Frequently touched areas were cleaned regularly.
“The home was clean and there were no malodours.” from the report
Minor issues during the visit
minorInspectors identified some minor infection control issues. The report says these were fixed promptly, but it does not explain what they were.
“We identified some minor issues during our inspection which were promptly rectified.” from the report
- 01What were the minor infection control issues found during the inspection, and what was done to put them right?
- 02What infection control arrangements are in place now, including testing, PPE and cleaning?
- 03How can relatives visit or keep in contact with residents now?
- 04What was the outcome of the most recent full inspection covering care, staffing, medicines and management?
- 05How would you manage a positive COVID-19 test or an infection outbreak in the home?
This was an announced, targeted inspection of infection prevention and control during the COVID-19 pandemic; it was inspected but not rated and did not provide a full assessment of the other care quality areas. This explanation was written from the published report of 10 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.
Every inspection of Cherry Trees
3 rated inspections over 6 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodWell-led: Good
- March 2017GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- October 2015
Registered with the Care Quality Commission on 8 October 2015.
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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