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Inspection carried out on 6 March 2018

During a routine inspection

Cherry Lodge is a residential care home that provides personal care and support for up to nine people with learning disabilities within a care home setting. There were nine people using the service at the time of our inspection.

The bedrooms are based on three floors and each floor has shared bathroom facilities. There is a lounge and well equipped kitchen on the ground floor and access to a large garden. The home is close to local amenities including shops, cafes, a library, and churches and had good transport links to the local towns and London.

At the last Care Quality Commission (CQC) inspection in March 2016, the overall rating for this service was Good. At that inspection we rated safe as Requires Improvement because window restrictors were not adequate to prevent a person falling from the window. The provider immediately changed the window restrictors and we found these were of a type that would help to prevent an accident.

At this inspection we found the service remained Good and we changed the rating of safe from Requires Improvement to Good. The service demonstrated they continued to meet the regulations and fundamental standards.

People remained safe at the home. Staff could explain to us how to keep people safe from abuse and neglect. People had suitable risk assessments in place. The provider managed risks associated with the premises and equipment well. There were enough staff at the home to meet people’s needs. Recruitment practices remained safe. Medicines continued to be administered safely. The checks we made confirmed that people were receiving their medicines as prescribed by staff qualified to administer medicines.

People continued to be supported by staff who received appropriate training and support. Staff had the skills, experience and a good understanding of how to meet people’s needs. We saw that staff encouraged people to make their own decisions and gave them the encouragement, time and support to do so. Staff were providing support in line with the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their needs. People had access to a range of healthcare professionals.

The staff were caring. The atmosphere in the home was calm and friendly. Staff took their time and gave people encouragement whilst supporting them. Throughout the inspection we saw that people had the privacy they needed and were treated with dignity and respect by staff.

People’s needs were assessed before they stayed at the home and support was planned and delivered in response to their needs. People could choose the activities they liked to do. The provider had arrangements in place to respond appropriately to people’s concerns and complaints.

We observed during our visit that management were approachable and responsive to staff and people’s needs. Systems were in place to monitor and improve the quality of the service. Audits of the premises helped ensure the premises and people were kept safe.

Inspection carried out on 5 March 2016

During a routine inspection

This inspection took place on 6 March 2016 and was unannounced. At the previous inspection on 14 October 2013 we found the service to be meeting all the regulations we inspected.

The service provides personal care and support for up to nine people with mental health issues within a care home setting. There were eight people using the service at the time of our inspection.

There was a registered manager in post. 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.

The premises were not always safe because the provider had not assessed and mitigated the risk of falling from height through unsecured windows. However, the provider acted promptly to mitigate this risk when we raised our concerns with them. Other areas concerning health and safety in the home, however, were well managed to keep people safe.

Medicines management was safe. Processes for checking people received their medicines as prescribed were robust. There were sufficient medicines in stock for people and medicines were stored safely. Procedures for receiving and returning medicines to the Pharmacy were in line with best practice.

Staff understood how to recognise abuse and how to report any concerns they had relating to this. The registered manager raised safeguarding allegations with the local authority safeguarding team and took action to keep people safe when allegations of abuse had been made. People had appropriate risk assessments in place with risk management plans to manage the risks and these were reviewed regularly.

The manager followed a robust recruitment process so that only suitable staff worked with people at the service and there were enough staff deployed to meet people's needs.

The manager and most of the staff understood their requirements under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS), and they had been provided training in these areas. DoLS provides a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them. The manager had considered whether people required DoLS as part of keeping them safe and none did at the time of our inspection.

People received the necessary support to receive appropriate food and drink and people’s preferences, cultural and religious needs relating to food and drink were met. Staff supported people with their health needs and people had access to the health services they needed.

Staff received the right support to understand and meet people's needs and the responsibilities of their role through a programme of training, support, supervision and appraisal.

Staff were caring and understood people’s needs and backgrounds well. Information about people's backgrounds, as well as their preferences for their care, was recorded in care plans for staff to refer to. Staff supported people to be as independent as they wanted to be and to take part in activities they were interested in. People were involved in their care plans. Care plans contained accurate information about people and were regularly reviewed so they were reliable for staff to refer to in supporting people. People, their relatives and staff were involved in the running of the care home and were consulted on in various ways.

There was a suitable complaints system in place and details about complaints made, as well as action taken regarding them, was clearly recorded for auditing purposes. People had confidence the manager would resolve issues they raised with them.

The provider was meeting the requirements of their registration with CQC in submitting statutory notifications of incidents such as allegations of abuse.

Inspection carried out on 14 October 2013

During a routine inspection

People we spoke with told us they were happy in their home and that the care staff and manager were very friendly. One person told us: "The staff are lovely". Another person said that the staff "work hard every day to give you a good life".

We observed staff as they worked with people using the service and found that they were treated with respect and dignity. Staff interacted with people in a positive manner and allowed sufficient time for people to express their views and wishes when talking to them.

People we spoke with told us that they felt well cared for at the home. One person told us "We are here because we need to be helped and staff do their job and help us". Another person said "Sometimes the staff make me laugh and sometimes they are too busy to joke around".

We saw that staff interacted with people in a professional yet informal manner and were able to demonstrate an awareness of people's individual support needs.

We saw records of staff recruitment, supervision, qualifications and experience. We saw that the provider had effective recruitment and selection procedures in place and carried out relevant checks when they employed staff. An induction period then followed which allowed new staff to be supervised and supported by the manager and colleagues. Records inspected were seen to be up to date and fit for purpose.

Inspection carried out on 17 September 2012

During a routine inspection

People told us that they were happy living at Cherry Lodge. Some people told us that the staff were friendly and that they liked doing things in the house and at day centres.

Others told us that they felt safe and that they felt staff would help them if they had

any problems.

Reports under our old system of regulation (including those from before CQC was created)