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Cherry Tree Lodge Private Residential Care Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 2 February 2019

This comprehensive inspection took place on 8 January 2019. The inspection was unannounced.

Cherry Tree Lodge Private Residential Care Home (referred to throughout the report as Cherry Tree Lodge) is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Cherry Tree Lodge is also registered to provide personal care and support to people living in their own houses and flats in the community. However, at the time of the inspection Cherry Tree Lodge was not providing this service.

Cherry Tree Lodge provides accommodation and personal care for up to 23 older people, mainly people living with dementia. It is a small, family run care home located on a main bus route on the outskirts of Rawtenstall town centre. There were 22 people living in the home at the time of the inspection.

The service was managed by a registered manager who was also a director. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons.' Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection of 26 July 2016, the service was rated as good. At this inspection, the overall rating has improved to outstanding; this was due to the excellent way in which the service was led and the commitment from staff to deliver high quality, responsive and compassionate care.

Throughout our inspection, we found the registered manager and staff were committed to the continuous improvement of the service and passionate about their work. They were dedicated to making people feel valued and improving people’s care and self-esteem. Evidence showed they followed best practice and developed positive links with other organisations to influence care and to attain better outcomes for people living at the home.

The philosophy and values of the home were known to staff and followed without exception. ‘Live, love and be loved’ and ‘You are never too old’ were embedded into the day to day experience of the home. Staff told us the registered manager led by example to ensure people received high quality, personalised care. People told us they were made to feel cared for, welcomed and involved. Without exception, everyone spoken with made positive comments about the management of Cherry Tree Lodge and said they would not hesitate to recommend the home to others.

A stable and enthusiastic staff team was in place at all times. Staff had been safely recruited and received the induction, training and support necessary to enable them to deliver effective care. There were enough staff available to meet people’s needs in a way which met their preferences and promoted their independence. The registered manager saw the recruitment, retention and development of staff knowledge and skills to be of vital importance in providing people with excellent care and the feeling of safety. Staff felt valued and had time to spend with people and their relatives without being rushed. Staff enjoyed working at Cherry Tree Lodge.

People made very positive comments about the staff and were more than happy with the care they received. They described staff as exceptionally kind and caring and enthusiastic. People told us staff regularly went out of their way to help them. We observed staff interacting with people and their relatives in a meaningful and caring way; this made people feel they mattered to the staff who supported them. We observed a strong, family orientated service where staff were encouraged to demonstrate highly respectful and caring attitudes towards the people they supported. We observed lots of smiles, hugs and laughter. The service provided spe

Inspection areas

Safe

Good

Updated 2 February 2019

The service was safe.

People felt safe and protected against the risk of abuse. Staff understood how to protect people.

The risks to people’s health and wellbeing were managed well.

Recruitment practices were safe and staff were provided in sufficient numbers to meet people's needs.

People's medicines were managed safely and administered by trained and competent staff.

Effective

Good

Updated 2 February 2019

The service was effective.

People enjoyed their meals and their dietary needs and preferences were met. People were supported appropriately with their healthcare.

Staff were provided with a wide range of training and development which enabled them to meet people's individual needs.

People's capacity to make safe decisions and to consent to care had been assessed. Staff had an understanding of the MCA 2005 legislation.

Caring

Good

Updated 2 February 2019

The service was caring.

Without exception people told us staff were consistently kind, caring and respectful. People told us staff regularly went out of their way to help them.

People were treated with compassion, dignity and respect and were involved in decisions about their care.

Staff were motivated to provide the highest standards of care and demonstrated highly respectful and caring attitudes towards the people they supported.

Responsive

Outstanding

Updated 2 February 2019

The service was very responsive.

People were supported to take part in a wide range of suitable activities and excellent links with the local community had been developed; this created a very positive impact on people's feeling of well-being.

People were involved in decisions about their daily lives and some people had set goals for the future. Each person had a detailed care plan that reflected the care and support they needed and wanted.

People told us they did not have any complaints but they knew who to speak to if they had; people were confident they would be listened to.

Well-led

Outstanding

Updated 2 February 2019

The service was very well-led.

The registered manager was fully committed to the continuous improvement of the service and dedicated to making people feel valued and improving their care and self-esteem.

The registered manager worked in partnership with other services and agencies to keep up to date with current legislation and to share best practice.

People made very positive comments about the management of Cherry Tree Lodge and said they would definitely recommend the home to others.

The visions and values of the service were fully understood by the staff team. All staff enjoyed working at the home.