CQC report explained · a nursing home
What the CQC found at Charrington Manor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were generally kept safe, with detailed risk information, safe medicines systems and checks on the building. Some people said waits could be longer at night and weekends, and some recruitment files were incomplete on the inspection day.
- Effective?
- Good
- Staff were trained and supported, people received suitable food and healthcare, and care plans were reviewed. Inspectors found that capacity assessments had been completed for everyone, including people where there was no reason to check capacity.
- Caring?
- Good
- People and relatives consistently described staff as kind, respectful and helpful. Staff supported people's choices, privacy and independence.
- Responsive?
- Outstanding
- Care was highly personalised and flexible. Staff supported people's interests, relationships, cultural and religious needs, communication needs and end-of-life wishes.
- Well-led?
- Good
- Inspectors found strong management visibility, supportive staff and quality checks covering areas such as medicines, infection control and care plans. Managers had already identified some records that needed review.
What inspectors found, March 2023
Rated Good overall, with Outstanding responsive care, although inspectors found some records and dementia-friendly features needed improvement.
This was the home's first CQC inspection since it registered. It was unannounced and took place on 20 February 2023. Inspectors spoke with people, relatives, staff and a healthcare professional. They also observed care and checked care records, medicines records, recruitment files and other documents.
The overall rating was Good. Safe, Effective, Caring and Well-led were rated Good. Responsive was rated Outstanding. Inspectors found kind and respectful care, safe medicines management, suitable staffing during the visit, good healthcare support and strong person-centred activities.
Inspectors also found some areas to improve. Some recruitment files did not contain all the required evidence on the inspection day. Capacity assessments had been completed for everyone, even where there was no reason to assess capacity. The environment did not yet have enough features to help some people living with dementia find their way around.
This was the first inspection, so there was no earlier rating to compare with. The top floor was not yet open when inspectors visited. CQC said it would continue to monitor information about the service.
Personalised care
Staff tailored care around people's interests, routines, beliefs and relationships. Inspectors found this helped people enjoy a better quality of life.
“Undoubtedly, the service offered responsive and person-centred care to people.” from the report
Activities and relationships
The home used creative ideas to help people stay connected and involved, including supporting special occasions and hobbies.
“Staff thought in creative and flexible ways to help meet people's needs and preferences.” from the report
Kind and respectful staff
People, relatives and inspectors saw warm, patient interactions. Staff supported privacy, dignity, choice and independence.
“Without exception everyone told us how kind and caring the staff were.” from the report
End-of-life support
Inspectors found that staff responded sensitively when people's health changed and supported individual wishes at the end of life.
“Staff were responsive to people's individual needs, particularly at the end of their life.” from the report
Safe medicines management
Medicines were stored securely and managed through an electronic system. Staff understood people's medicines and related risks.
“People's medicines were managed safely, stored correctly and only experienced staff carried our medicines administration.” from the report
Longer waits at some times
needs fixingSome people said they could wait longer for help at night and weekends. The manager said an experienced nurse had been added to night shifts.
“Some people did say at night and the weekend they may have to wait longer to be assisted.” from the report
Recruitment records
needs fixingSome staff files did not contain all required documents when inspectors checked them. The manager was auditing the files and later provided some missing documents.
“Although this process was well-defined, some recruitment files lacked evidence of the required documentation.” from the report
Capacity assessments
needs fixingCapacity assessments had been completed for everyone, even when there was no reason to check capacity. Managers agreed that further training and work were needed.
“However, we found that assessments had been carried out for everyone, even if there was no reason to check their capacity.” from the report
Dementia-friendly layout
minorSome parts of the new building could be difficult for people living with dementia to recognise. Corridors were hard to distinguish and many memory boxes were empty.
“It was difficult, for example, to differentiate one corridor from the next and although people had memory boxes outside of their rooms, many were empty.” from the report
- 01What has been done to complete and maintain all required documents in staff recruitment files?
- 02How do you now decide when a capacity assessment is needed, and what training have staff received?
- 03What staffing levels and response times should we expect at night and weekends?
- 04What changes have been made to signs, corridor design and memory boxes for people living with dementia?
- 05How will care and staffing be affected when the top floor opens?
This was an unannounced first inspection covering all five CQC questions; infection prevention and control was also checked under Safe, and the top floor was not yet open. This explanation was written from the published report of 23 March 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 Charrington Manor Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- February 2022
Registered with the Care Quality Commission on 21 February 2022.
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.
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