Cherry Tree House

Updated 1 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 3 inspectors.

Service and service type

Cherry Tree House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Cherry Tree House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 3 relatives about their experience of the care provided. We spoke with 8 members of staff including members of domestic and catering staff, the clinical lead, the registered manager, a nurse and care staff. We reviewed a range of records. This included 5 people's care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. After the inspection we continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 1 February 2023

About the service

Cherry Tree House is a residential care home providing personal and nursing care to up to 18 people. The service provides support to older people, people with a physical disability, younger adults and people who experience mental health difficulties. At the time of our inspection there were 11 people using the service. Accommodation is provided in 3 purpose-built buildings.

People’s experience of using this service and what we found

Significant improvements had been made in the service since our last inspection. The registered manager was an experienced manager who was dedicated to achieving good outcomes for people through person-centred support. The provider was committed to making improvements in the service and had implemented robust governance systems.

People lived in a relaxed, clean environment. Systems and processes were in place to protect people from harm. There were enough staff safely recruited to meet people’s needs. Infection prevention and control measures were in place to help keep people safe. People had their health and well-being needs met. Medicines were safely managed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported by caring, skilled and experienced staff who had time to get to know them and how best to support them. Staff supported people to identify their goals and develop their independence.

There was a positive culture within the home and the staff implemented the values of the provider to provide high quality personalised care and support to people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 8 June 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 31 July 2021. The decision was made to impose conditions on the providers registration to reduce the risk of harm to people. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from inadequate to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect