CQC report explained · a nursing home
What the CQC found at Bridgewater Manor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, staffing was judged sufficient, and infection control was effective during a COVID-19 outbreak. However, guidance for some 'when required' medicines was missing.
- Effective?
- Good
- Staff had training and supervision, people's healthcare needs were supported, and people were helped to eat and drink. Inspectors found conflicting information in two people's care plans about modified diets.
- Caring?
- Good
- People described staff as kind, patient and respectful. Inspectors observed positive relationships and found that people were supported to make choices and maintain independence.
- Responsive?
- Good
- Care plans were personalised, communication needs were recorded and activities were available. The ratings table says Good, but the detailed section says 'requires improvement', creating an inconsistency in the report.
- Well-led?
- Good
- People and staff said the home was well managed and felt involved through meetings and newsletters. Quality checks and action plans were in place, although there was not yet an overarching improvement plan.
What inspectors found, April 2023
Bridgewater Manor Care Centre was rated Good overall; inspectors found kind, safe care, with some medicines and dietary records needing improvement.
This was the home's first inspection. It was unannounced and took place on 29 and 31 March 2023. Inspectors spoke with 11 people and 10 staff, and reviewed care records, medicines, staffing records and quality checks.
People told inspectors they felt safe and received kind, respectful care. Staff were described as trained and competent. The home was clean, staffing was judged sufficient, people's health needs were supported, and activities were available.
Inspectors found some inconsistencies in records for 'when required' medicines and modified diets. They made recommendations for these records to be kept accurate and complete. The report's ratings table gives Good for all five questions, although the detailed Responsive section says 'requires improvement', so this inconsistency is worth checking.
The report says this was the first inspection since the service registered. Overall, the Good rating means inspectors found the service met the required standards at the time of the visit, but it does not mean every part was perfect.
Kind and respectful care
People said staff were kind, patient and respectful. Inspectors observed positive interactions and found that people were supported to make choices and remain independent.
“People told us they received good quality care from staff who knew them well.” from the report
Safety and infection control
People felt safe, staff knew how to report safeguarding concerns, and accidents and falls were recorded and reviewed. The home was clean and infection control was effective during a COVID-19 outbreak.
“The home was clean with effective cleaning and infection control processes in place.” from the report
Staff training and support
Staff said they received suitable training, supervision and support. Training and supervision were monitored to help keep staff up to date.
“Staff told us they received enough training, support and supervision to carry out their roles.” from the report
Activities and social life
The home offered activities throughout the day and regular outings. People were supported to maintain social relationships and take part in interests they enjoyed.
“There was a weekly activity schedule in place, with activities planned each morning, afternoon and evening should people wish to take part.” from the report
People involved in the home
Residents and staff could share their views through meetings and a monthly newsletter. Inspectors saw examples of suggestions being acted on.
“Regular meetings were held to allow people to provide their views and be involved in the running of the home.” from the report
Missing medicine guidance
needs fixingFor three people, guidance was not available for all 'as required' medicines or topical creams. Inspectors recommended that the home consistently follow guidance so medicines can be given safely and correctly.
“for 3 people whose medicines we looked at, this information was not available for all of their 'as required' medicines or topical creams.” from the report
Conflicting dietary records
needs fixingTwo people's care plans contained conflicting information about their modified dietary needs. Inspectors recommended that information be kept accurate across all records.
“we found conflicting information in 2 people's care plans regarding their modified dietary needs, and how these should be met.” from the report
Further dementia-environment work
minorThe dementia unit had some suitable adaptations, but inspectors said more work was needed. The new manager had identified this and planned to look at ideas from another home.
“We found whilst some adaptations had been made to the environment to ensure it was suitable for the people living there, further work was needed.” from the report
Some staff felt busy
minorInspectors judged staffing levels sufficient, but some people felt staff now seemed very busy compared with when the home first opened.
“This was reflected in some people's feedback, who felt staff now seem very busy.” from the report
No overall improvement plan
minorThe home used individual action plans, but did not yet have one overarching improvement plan. Management said they were looking to introduce one.
“The home did not currently have an overarching improvement plan, however, the registered manager stated this was something they were looking to introduce.” from the report
- 01What has been done to make sure every 'when required' medicine has clear instructions for staff?
- 02How have you corrected the conflicting modified-diet information in care plans and checked that all records now match?
- 03What further changes have been made to the environment for people living with dementia?
- 04How do you check that staffing remains sufficient at busy times, especially now that some people felt staff were very busy?
- 05The report gives conflicting information about the Responsive rating. Which rating should families rely on, and what does the home say this means?
This was the home's first comprehensive inspection, covering all five key questions and infection prevention and control measures; the report contains conflicting wording about the Responsive rating. This explanation was written from the published report of 28 April 2023 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 Bridgewater Manor Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- April 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2021
Registered with the Care Quality Commission on 9 November 2021.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Salford
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 90 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.