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CQC report explained · a residential care home

What the CQC found at Cherrymead

Goodpublished 27 October 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
There were enough staff to meet people's needs, and the home had increased night staffing as needs became more complex. Medicines, safeguarding, risk assessments and the premises were found to be managed safely.
Effective?
Good
Staff were trained and supported, and people received appropriate food and healthcare. However, food presentation for people living with dementia needed attention.
Caring?
Good
Staff were observed to be kind, patient and friendly. People were treated with dignity and supported to make choices and remain as independent as possible.
Responsive?
Good
Care plans were personalised and reflected people's preferences, needs and goals. People were supported with activities, relationships, changing health needs and complaints.
Well-led?
Good
The home had a clear focus on independence, and people, relatives and staff were involved in its running. Audits were in place, but they had not identified gaps in refresher training.
The latest report, explained

What inspectors found, October 2018

Cherrymead was rated Good; inspectors found kind, personalised care and safe staffing, but some training was out of date and food presentation needed attention.

Two inspectors carried out an unannounced comprehensive inspection on 30 May 2018. They observed care, a meal, medicines being given and activities. They spoke with staff, a relative and the manager, and reviewed care plans, risk assessments, training records, audits, complaints and other documents.

The inspectors found enough staff to meet people's needs, including support for outings and increased staffing at night. Medicines were managed safely. Care was kind, patient and personalised. People were supported to make choices, stay independent, join activities and use community facilities.

All five areas were rated Good: safe, effective, caring, responsive and well-led. The report also identified that some refresher training was out of date and that food presentation needed improvement for people living with dementia.

What inspectors praised
  • Safe staffing

    The home had enough staff during the day to meet people's needs and support outings. Night staffing was also increased when people's needs became more complex.

    “There were sufficient staff numbers during the day to support people in the home and to accompany people if they are going out.” from the report
  • Kind, respectful care

    Staff knew people well and gave them time and reassurance. Inspectors saw care that respected people's dignity, privacy and independence.

    “Staff were observed to be caring, patient and friendly with people.” from the report
  • Personalised support

    Care plans included people's preferences, communication needs and goals. People were helped to take part in decisions about their care.

    “Care plans were detailed and written in a person-centred style which provided staff with information and guidance on each person.” from the report
  • Activities and community life

    People were supported to take part in activities they chose, both at the home and in the community. This included swimming, hydrotherapy, day-centre visits and social activities.

    “People were supported to attend a range of activities including the use of community facilities.” from the report
  • Safe medicines

    Medicines were stored, given and recorded safely. Staff were assessed as competent before administering medicines.

    “Medicines were ordered, stored, administered and disposed of safely.” from the report
What inspectors were concerned about
  • Out-of-date refresher training

    minor

    Training records showed that some refresher training was not up to date. The quality checks had not identified this, although inspectors said it had not directly affected people's safety.

    “Staff had the skills and knowledge and knew people well but training records showed gaps in keeping refresher training up to date for some staff.” from the report
  • Food presentation for dementia

    minor

    Inspectors saw that a person living with dementia struggled to identify food when it was served on a white plate. The report said adaptations such as stronger colour contrast could improve mealtimes.

    “Food presentation for people living with dementia needed attention.” from the report
Questions to ask them, based on this report
  1. 01Which staff refresher courses were out of date at the inspection, and are all of them now completed?
  2. 02How do you check that audits identify gaps in staff training?
  3. 03What changes have you made to food presentation for people living with dementia?
  4. 04How do you decide the number of staff needed at night when people's needs change?
  5. 05How are people and their relatives involved in reviewing care plans and setting personal goals?

This was an unannounced comprehensive inspection covering all five key questions, and the report also checked whether the staffing breach found in April 2016 had been addressed. This explanation was written from the published report of 27 October 2018 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 Cherrymead

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. October 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cherrymead →

  2. April 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2011

    Registered with the Care Quality Commission on 3 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.

Next steps

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