Cherry Tree Lodge Private Residential Care Home

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; However, the policies and systems in the service did not always support this practice.

People were not always deprived of their liberty in a lawful and safe way. The necessary assessments were not always carried out in line with the mental capacity act. There was a system in place for staff when they commenced their role. However, not all staff had the relevant training such as medication and fire safety training. People's care plans did not always contain accurate information and were found to be conflicting. We made a recommendation about this. People and their relatives spoke highly of the assessment process and felt involved. The environment was accessible and suitable for people's needs.

People and their relatives spoke positively about the staff and the care they received. One person said, "The staff are lovely and caring." We observed encouraging interactions between staff and people during the inspection and we found people were treated with dignity and respect.

People's records and care plans were person centred. End of life discussions were taking place when appropriate and this was documented. People's communication needs were identified, and information was made available to people in an accessible format. A complaints policy and procedure was in place. However, people told us they had no reason to complain and no complaints had been logged. The registered manager was in the process of recruiting an activities coordinator and we observed staff engaging with people during the inspection.

Audits were in place. However, they did not always identify risk and there was little evidence of learning lessons when something goes wrong. There was no evidence of people and their relatives taking part in feedback or satisfaction surveys. Following on from the inspection the registered manager has now

implemented this to ensure people's voices are heard. Staff worked in partnership with various agencies to support people and staff meetings were taking place. Staff and visiting healthcare professionals spoke highly of the registered manager.