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CQC report explained · a residential care home

What the CQC found at Mainwaring Terrace

Goodpublished 23 February 2026, 7 months ago

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

The latest report, explained

What inspectors found, March 2022

Mainwaring Terrace was inspected but not rated; inspectors found good infection control and support for people during the pandemic.

This was a targeted inspection about infection prevention and control during the COVID-19 pandemic. Inspectors also asked about staffing pressures. The inspection was announced.

Inspectors found the home was clean and that staff knew people well. They were assured that the home used personal protective equipment safely, arranged testing, managed visitors and followed infection control procedures.

The home supported visits through risk assessments and a garden log cabin. This report does not give an overall quality rating or a rating for Safe. It is not a full assessment of all areas of care.

What inspectors praised
  • Staff knew people well

    Staff understood people’s needs and the importance of supporting their wellbeing during the pandemic.

    “Staff knew people at the service well. Staff were aware of the importance of supporting people's wellbeing during the pandemic.” from the report
  • Clean environment

    The home had an enhanced cleaning schedule for frequently touched areas and appeared clean.

    “An enhanced cleaning schedule of high touch areas was in place. The home appeared clean throughout.” from the report
  • Safe visiting arrangements

    Visitors completed checks and risk assessments. People could also meet relatives in a log cabin in the garden without entering the home.

    “People also had the option of using a log cabin at the service for visiting. This enabled people to visit the service without entering the home.” from the report
  • Infection control

    Inspectors were assured that the home was using protective equipment, testing and other measures to prevent and manage infections.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What staffing pressures are you experiencing now, and how do you make sure they do not affect people’s care?
  2. 02How are visitors currently checked, and can my relative use the garden log cabin for visits?
  3. 03How do you support people who need an essential care giver?
  4. 04How do you keep the infection prevention and control policy up to date?
  5. 05How are activities chosen to reflect what each person enjoys?

This was a targeted inspection of infection prevention and control, with questions about COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 16 March 2022 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.

An earlier report, explained

What inspectors found, November 2019

Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.

The inspection took place on 14 October 2019 and covered all five CQC areas. One inspector spoke with people, staff, a relative and the manager. They reviewed care files, medicines records, staff recruitment and training records, safety checks and quality audits.

The home was rated Good overall, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. People were found to be safe, treated kindly and involved in decisions about their care. Staff supported people with health appointments, activities, communication and developing independence.

The previous inspection rated the service Requires Improvement, with breaches linked to medicines, premises safety and management oversight. Inspectors found enough improvement had been made and there were no breaches at this inspection. A new registered manager was in post, and staff said morale and support had improved.

What inspectors praised
  • Medicines management

    Medicines were given as prescribed, with clearer records, regular checks, staff training and competency assessments.

    “At this inspection, we found protocols were in place and clearly detailed the signs and symptoms people may display when they required such medicines.” from the report
  • Kind, respectful care

    Inspectors saw friendly and kind interactions. Staff understood how to protect people's privacy, dignity and personal space.

    “We saw kind interactions between staff and people living at the home.” from the report
  • Activities and relationships

    People were supported to take part in activities they chose, go out, meet others and maintain family relationships.

    “People were supported to attend activities of their choice.” from the report
  • Improved leadership

    The new manager introduced regular audits and supervision. Staff said morale and communication had improved.

    “Staff told us, "It has got better since [registered manager] has been here, she is approachable.” from the report
What inspectors were concerned about
  • End of life planning

    needs fixing

    No one was receiving end of life care during the inspection. The manager recognised that more work was needed to prepare for this and planned to discuss people's wishes with families.

    “The registered manager had recognised further work needed to be undertaken to enable the service to support people, should they be at the end of their life” from the report
Questions to ask them, based on this report
  1. 01What end of life plans have now been made with each person and their family?
  2. 02How often are medicines, fire safety, gas, electrical and legionella checks audited?
  3. 03How do you make sure agency staff know each person's routines, communication needs and support plans?
  4. 04What changes have been made since the previous inspection, and how do you check that they remain effective?
  5. 05How are people supported to choose activities, develop independence and work towards their personal goals?

This was a planned inspection covering all five questions, including care, premises safety, medicines, staff arrangements and management systems. This explanation was written from the published report of 15 November 2019 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 Mainwaring Terrace

3 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Mainwaring Terrace →

  2. November 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Mainwaring Terrace →

  3. November 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 23 December 2010.

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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Most charge £980 to £1,260 a week. 89 can care for a couple. 10 years' experience on average.

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