About the service: Cherry Lodge Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection 17 people were using the service.People’s experience of using this service:
People were not safeguarded from abuse as an incident of potential abuse was not reported to the local authority and CQC as required by the registered manager.
Incidents and accidents were not always reviewed so actions could be taken to reduce the risk of them happening again.
The systems in place to assess and monitor the quality of the service were not effective as they had not identified the issues we pick up during this inspection.
Risk management plans were available but actions were not always taken promptly to maintain people’s health and well-being.
Legionella risk was not assessed to ensure that the water systems at the service were safe. After our inspection, evidence was sent to us to show that legionella risk assessment had now been completed.
Staff were trained on safeguarding adults from abuse and knew to report their concerns to management in line with the provider’s procedures.
There were sufficient staff deployed to meet people’s needs and recruitment checks were conducted before new staff were employed.
Health and safety checks were conducted including fire safety. The environment was well maintained.
Staff were trained in infection control and followed procedures to reduce risks of infection.
People’s medicines were managed in line with safe medicine administration and management guidelines.
People’s needs were assessed in line with best practice guidance. People and their relatives were involved in establishing their needs and planning their care.
The service provided people with nutritious food and drinks to meet their nutritional needs.
Staff received training, support and supervision to provide effective care to the people, and to carry out their duties effectively.
People had to access to healthcare services they needed to maintain good health. The provider had arrangements and systems in place to ensure people received well-coordinated care and support when they used other services.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People gave consent to the care and support they received.
The service complied with the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Relatives and healthcare professionals were involved in making decisions for people in their best interests where this was appropriate.
Staff were kind and compassionate to people. People were given emotional support and reassurance when they were distressed and unhappy.
People were given a choice about how their care should be delivered. They confirmed they were involved in planning their care.
Staff treated people with respect and dignity, and gave them the privacy they needed. Staff support people to develop and maintain their independence with activities of daily living.
People’s end-of-life wishes were documented in their care plans. The registered manager told us they would work closely with other services to provide end of life care to people when needed.
People were supported and encouraged to participate in activities they enjoyed.
The service supported people’s needs with regards to their disabilities, culture and religion. Staff had received equality and diversity training.
People and their relatives told us they were involved in developing the service. People’s views were sought and used to develop the service.
People and their relatives knew how to raise concerns about the service and the registered manager addressed any complaints they received appropriately.
The provider worked in partnership with other organisations and services to develop and improve the service.
The registered manager and provider understood their roles to deliver an effective and high-quality service to people.
There was clear and visible management at the service and staff told us that they were supported in their roles. Staff demonstrated they understood their roles and responsibilities.
Rating at last inspection: The service was rated Requires Improvement at their last inspection of November 2017. At this inspection the service was rated Requires Improvement overall for the second time.
Why we inspected: We carried out this inspection to check that improvements had been made following our last inspection where we found three breaches of regulations.