Cherry Wood Grange Care Home

The number of safeguarding alerts had reduced since the arrival of the new registered manager. They were working well with external professionals to investigate and resolve outstanding concerns.

The feedback we received during our inspection combined a positive view of the new registered manager and the changes that had been made. One person said, "There is enough staff. There was one staff member who was a bit abrupt, I told the manager and I have not seen her since. I love it here, I am never leaving." A staff member said, "It's a lot happier here now. Sometimes staff haven't always got on at times, but that has been resolved. The management has sorted this out now."

The new registered manager had put in place systems to monitor the quality and safety of the service, we found these to be effective. The registered manager had introduced measures to learn from incidents and to look at how they could improve the service.

Since the last inspection, people's care records had been updated and reflected people's needs and preferences. People and relatives were involved in reviewing care.

The way people's medicine was managed had improved. Audits were in place and carried out routinely. People received their medicines as prescribed and were supported by staff who had received the appropriate training.

The registered manager had started to address the concerns we had raised at our last inspection. They had a practical, person-centred approach which was making a difference to the care people received. Although the registered manager had made positive changes and staff and relatives spoke highly of them, we would need to see a stable management team in the future to ensure improvements are sustained. At the time of the inspection, the provider was recruiting for a clinical lead for the home and told us a person had been recruited and would be starting shortly. A senior nurse was providing an oversight of the clinical care in the interim. The registered manager had a good understanding of the health needs of the people at the service.

Feedback was particularly positive about how well the registered manager was communicating with people, families and staff. One relative said, "Communication is excellent if they have any concerns or need to report anything to us. The care on the dementia floor is brilliant." Another relative said, "The staff are very good at trying to motivate people. I have seen staff go and sit with people who are sitting on their own to check if they want any company." Another relative said, "I am impressed with the strategies the staff use. The staff never seem to rush."

We found the risk from the spread of infection was well managed. People's care was well-planned, and staff minimised risks to people's safety. The administration of medicines had improved.

There were enough staff to keep people safe. The registered manager was working well with the staff team to improve staff turnover and morale.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The registered manager promoted a person-centred approach to managing restrictions resulting from the covid-19 pandemic. They communicated well with people and families to explain the restrictions.