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CQC report explained · a nursing home

What the CQC found at Cheadle Manor Care Home

Goodpublished 20 January 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People felt safe and risks were assessed and managed. Medicines were managed safely overall, but staff did not always record when thickener had been added to drinks, and some people reported short waits for staff.
Effective?
Good
Staff were trained and supported, and people received help with eating, drinking and accessing healthcare. Some capacity assessments needed more detail, and some DoLS referrals were still awaiting formal assessment.
Caring?
Good
People said staff were kind, polite and respectful. Staff promoted choice, privacy and independence, and involved people and families in care planning.
Responsive?
Good
Care was personalised and activities were available. Some care plans had not been fully updated after changes in people's needs, or needed more detail, but the manager took immediate action when this was raised.
Well-led?
Good
People, families and staff spoke positively about the management. Audits, feedback, complaints and incident reviews were used to identify shortfalls and make improvements.
The latest report, explained

What inspectors found, January 2023

Rated Good; inspectors found kind, safe and personalised care, with some records and staffing waits needing attention.

This was the home’s first inspection since it registered. The visit was unannounced and took place on 14 December 2022. Inspectors observed care, spoke with people, families, staff and health professionals, and checked care, medicine, recruitment and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, staff were kind and respectful, medicines were generally managed safely, and people received support with food, activities, healthcare and end-of-life care.

There were some areas to improve. Staff did not always record when thickener had been added to drinks. Some capacity assessments and care plans needed more detail or updating, and some people reported short waits for staff, especially at night. The home took immediate action on some issues during the inspection.

What inspectors praised
  • People felt safe

    People said they felt safe and staff understood their safeguarding responsibilities. Risks such as falls, choking and malnutrition were assessed and action was taken to reduce them.

    “People felt safe at the service and staff understood their responsibility to safeguard the people they supported.” from the report
  • Kind and respectful care

    People described staff as caring and polite. Inspectors saw positive interactions and found that privacy, choice and independence were respected.

    “People spoke positively about how they were treated by staff.” from the report
  • Good support with food and healthcare

    People received support with eating and drinking, with choices and snacks available. Staff contacted health professionals when needed and used their advice in care plans.

    “Mealtimes were calm and pleasant experiences and food looked and smelt appetising.” from the report
  • Activities and relationships

    People could take part in group and one-to-one activities, trips and community links. The home also supported religious and community connections.

    “Wellbeing workers completed a range of activities with people on both a group and one to one basis.” from the report
  • Open management

    Families and staff said managers listened and acted on feedback. Audits and reviews of complaints, accidents and incidents were used to support improvement.

    “The provider used a variety of audits and quality assurance tools to ensure the quality of the service.” from the report
What inspectors were concerned about
  • Recording thickener

    needs fixing

    Carers did not always record when thickener had been added to drinks for people with swallowing difficulties. Managers said this would be addressed with extra training.

    “Carers were not always recording when thickener had been added to drinks for people who had difficulty swallowing.” from the report
  • Some waits for staff

    minor

    People and families generally thought staffing was adequate, but some people reported short waits for help, particularly at night. Staff said staffing levels had improved recently.

    “Sometimes you need to wait for a short while for the staff as they are busy with others. More so at night.” from the report
  • Capacity assessment records

    needs fixing

    Some capacity assessments were detailed, but others needed more work so staff had clearer guidance. Several DoLS referrals were awaiting formal assessment by external services.

    “However, others would benefit from further work to ensure it contained the guidance staff need, and links to other areas of care need for the person.” from the report
  • Care plans not always updated

    needs fixing

    Some care plans were not fully updated after a person's needs changed, or needed more detail. The manager took immediate action after inspectors raised this.

    “We noted some occasions where care plans had not been completely updated following a change in need, or where further detail was required.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure thickener is recorded every time it is added to a drink?
  2. 02What staffing levels are in place at night, and how do you prevent people waiting for help?
  3. 03How have you improved capacity assessments and recorded the guidance staff need?
  4. 04How quickly are care plans updated when a person's needs change?
  5. 05Which DoLS referrals are still awaiting assessment, and how are people's rights protected while they wait?

This was an unannounced first inspection covering all five CQC questions, including infection prevention and control. This explanation was written from the published report of 20 January 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.

The story over the years

Every inspection of Cheadle Manor Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. January 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cheadle Manor Care Home →

  2. December 2020

    Registered with the Care Quality Commission on 17 December 2020.

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.

Next steps

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