Cherry Tree Care Centre

Staff had attended appropriate training in safeguarding and people told us they felt safe and knew how to raise any concerns. Risk assessments were completed, and people told us they were involved in decisions about their care. We saw the service learnt from accidents and incidents. There were enough staff to meet people people's needs however, some staff we spoke with felt they were not always been deployed effectively. Managers told us they would review this and communication around staff deployment. Safe recruitment practices were followed, however we found interview records could be improved so they were dated and photographs of staff should be obtained. Following our inspection, the administrator shared that this was now in place. Medicines were safely managed and people told us they received them on time. The service and equipment were clean and well maintained.

People were given care and support from staff who were well trained. The service liaised closely with healthcare professionals and a visiting community health professional told us, "The staff work with us well and follow any plans we make." People were supported to recover their skills and independence with community heath support enabling them to return home following a fall or illness. One person we spoke with said, “When I was in hospital I was using a hoist and since I have been here the physio has been in a few times a week and I am now walking again with a frame”. We observed mealtimes were calm and people were supported to have their nutritional needs met.

People received care and support from staff who knew them well and had a kind, caring and respectful approach which maintained people’s dignity and independence. People were supported to maintain relationships with those close to them and in the local community. One person told us, “I would recommend this to anyone. I’m asked if I want a bath or shower I get clean clothes on every day and the staff listen to what I want”.

Staff had identified if people were at particular risk of discrimination and social isolation and positive action had been taken to integrate people with the local community. The service worked in a positive way to ensure everyone's diverse needs were met and people were encouraged to raise any issue or concern. Teamwork at the service was positive.

The service had undergone recent changes in leadership. People, professionals and staff we spoke with were positive in their views of management at the home. The acting manager was approachable and was a visible presence throughout the service. People and staff were able to raise issues and give feedback. Quality assurance at the service had improved. Robust audits still needed to be embedded although although the provider and manager showed us this work had begun. Plans were in place in case of emergency and staff we spoke with told they felt confident in training and support they were given. Commissioners and healthcare professionals were positive in their feedback of service saying the team worked collaboratively. The service was also embarking on several pilot initiatives for older people with Teesside University and other peer support networks.