CQC report explained · a residential care home, run by Martin Jay & Joanna Jay & Thom Wight
Cherry Lodge
23-24 Lyndhurst Road, Lowestoft, NR32 4PD
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, April 2024
Rated Inadequate and placed in special measures; inspectors found serious gaps in safeguarding, risk management and leadership despite kind staff and safe medicines handling.
The inspection was unannounced and took place on 19 December 2023. Inspectors spoke with 9 people, 1 relative and staff, observed care, checked 5 care records and medicines records, and reviewed training, incidents, accidents and audits.
The home was not safe. Abuse concerns had not always been reported, risks such as falls, choking, diabetes and distress were not fully assessed, and records did not show that staffing was enough for an emergency evacuation. Infection control and some food and drink monitoring also needed improvement.
The home was rated Requires Improvement for Effective. Consent records and best-interest decisions were not always in place. Referrals to specialist teams were sometimes delayed, and food, drink and health records were not always complete.
The home was rated Inadequate overall and for Safe and Well-led. Inspectors found six breaches of regulation. The previous overall rating was Good, published in March 2018. The home is in special measures, with conditions on its registration and further monitoring.
Kind relationships
Inspectors saw caring interactions. People and relatives generally felt comfortable with staff, who knew people well.
“We observed caring interactions between staff and people.” from the report
Medicines
Medicines were stored, administered and recorded safely. Staff who gave medicines had training and competency checks.
“There were systems in place for the safe storage, administration and management of medicines.” from the report
Recruitment checks
The home carried out suitable recruitment checks, including DBS checks.
“Staff were recruited safely and Disclosure and Barring Service checks (DBS) were in place.” from the report
Visiting
There were no restrictions on visiting, and relatives said they could visit as they wished.
“There were no restrictions on visiting and the provider was working within current government guidance.” from the report
Safeguarding failures
seriousSome incidents that indicated abuse had occurred were not reported to the local safeguarding team. Staff were not consistently clear about their responsibilities to report abuse.
“The local safeguarding team had not been made aware of a number of incidents.” from the report
Unmanaged risks
seriousCare records did not fully explain how to manage risks including falls, choking, diabetes and periods of distress. Emergency evacuation arrangements had not been properly tested against the staffing available at night.
“The risks to people's health, safety and welfare had not always been assessed.” from the report
Weak oversight
seriousAudits were mainly tick-box checks and did not show what had been reviewed or learned. The provider did not reliably use incidents and accidents to improve care.
“Systems and processes did not effectively monitor quality or keep people safe.” from the report
Food and drink monitoring
needs fixingFood and fluid records did not always show what people had eaten or drunk, including snacks intended to support weight gain. This meant the home could not demonstrate that people were sufficiently hydrated.
“The provider could not demonstrate people were sufficiently hydrated as records were not complete.” from the report
- 01What safeguarding incidents have been reported to the local authority and the CQC since this inspection?
- 02How have you checked that staffing levels are enough for an emergency evacuation, especially at night?
- 03Can you show how risks relating to falls, choking, diabetes and distress are now assessed and reviewed?
- 04How are you checking that staff understand and apply safeguarding, risk assessment and Mental Capacity Act training?
- 05How do you now record and monitor people's food, fluid and snack intake?
This inspection examined Safe, Effective and Well-led; Caring and Responsive were not rated, and the previous ratings changed from Good to Inadequate for Safe and Well-led and to Requires Improvement for Effective. This explanation was written from the published report of 17 April 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Cherry Lodge
4 rated inspections over 9 years: the service has slipped, from Good to Inadequate.
- April 2024Inadequatecurrent ratingSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Inadequate
- March 2021Inspected but not ratedSafe: Inspected but not rated
- May 2018Goodup from InadequateSafe: GoodEffective: GoodWell-led: Good
- August 2017Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- September 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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Other services run by Martin Jay & Joanna Jay & Thom Wight
1 other service on the CQC register. A pattern across a group tells you more than one report.