CQC report explained · a nursing home
What the CQC found at Timperley Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2022
Rated Good overall; inspectors found kind, well-managed care, but medicines practice and some safety checks needed improvement.
This was an unannounced focused inspection over three visits in September and October 2022. Inspectors spoke with people, relatives, staff and a healthcare professional. They reviewed care and medicines records, incidents, audits and the home’s environment.
The overall rating stayed Good, as it was at the previous inspection. Effective and well-led were rated Good. Safe was rated Requires Improvement because medicines were not always given at the right time, records for some medicines were incomplete, PPE was not always used correctly, and some equipment servicing was overdue.
Inspectors found that people felt safe, the home was clean, staffing met people's needs, and staff received training. The home had audits and an action plan, with many actions completed or in progress. Inspectors made recommendations about medicines, PPE and Deprivation of Liberty Safeguards.
Clean environment
Inspectors found the home visibly clean and saw cleaning schedules in use.
“The home was visibly clean throughout. Cleaning schedules were used to ensure all part of the home were cleaned.” from the report
Staff training
Staff had the induction and training needed for their roles. Staff also said they felt supported by nurses and the manager.
“Staff received the induction and training they needed to carry out their roles.” from the report
Quality monitoring
The home used planned audits and an action plan. Many identified actions had already been completed or were in progress.
“A quality assurance system was in place with a series of planned audits.” from the report
Healthcare links
Inspectors found that staff referred people to medical professionals when needed and followed the advice given.
“Timely referrals were made to medical professionals when required.” from the report
Medicine timing and records
seriousSome medicines were not given before or after food when required. Records did not always explain why as-needed medicines were given or whether they worked.
“Medicines were not always safely administered at the correct times.” from the report
Medicines through tubes or hidden in food
needs fixingThe records supporting these medicines needed review so staff had all the information required.
“We recommend the records to support staff to administer 'when required' medicines and medicines given to people via a feeding tube or covertly, hidden in food or drink are reviewed” from the report
PPE use
needs fixingSome staff wore masks below their nose and did not always wear aprons when serving food. Inspectors saw improvement on the second day.
“Care staff did not always use personal protective equipment (PPE) appropriately.” from the report
Overdue equipment servicing
seriousFire equipment and the nurse call bell system had servicing booked, but the servicing was overdue at the time of inspection.
“Servicing of the fire equipment and nurse call bell system was booked to take place; however, they were overdue.” from the report
DoLS renewal tracking
needs fixingSome renewal applications were late and the tracking system was not up to date. The report says all required re-applications had been made by the second inspection day.
“We saw DoLS renewal applications had not always been completed or were sent after the due date.” from the report
- 01What changes have been made to ensure medicines are given at the correct times, including before or after food where required?
- 02How are records now checked for as-needed medicines and medicines given through feeding tubes or hidden in food or drink?
- 03Have the overdue fire equipment and nurse call bell system servicing checks now been completed?
- 04How does the home make sure Deprivation of Liberty Safeguards applications and renewals are completed on time?
This was a focused inspection of Safe, Effective and Well-led, with infection prevention and control included under Safe; Caring and Responsive were not inspected and the overall rating used the previous inspection ratings where needed. This explanation was written from the published report of 17 November 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.
What inspectors found, June 2021
Timperley Care Home is Rated Good overall, but Safe Requires Improvement; inspectors found clear improvements in medicines and management.
This was an unannounced, focused inspection after concerns about the management and oversight of the home. Inspectors visited on three days, spoke with people living there, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
The home had improved since the previous inspection. Medicines were being managed safely, risks were assessed and reviewed, infection control was well managed, and staff recruitment checks were in place. Inspectors also found better action plans, audits and leadership arrangements.
Safe remained Requires Improvement because CQC wanted to see safe practice continue consistently over time. Well-led improved to Good. The overall rating changed from Requires Improvement to Good, but the other care areas were not inspected during this visit and their previous ratings were used.
Safer medicines management
Medicines were administered as prescribed, records were checked, and controlled drug stocks matched the provider's records. The earlier legal breach had been resolved.
“Medicines administration systems were robust, well organised and regularly reviewed.” from the report
Risk and infection control
Risks were assessed and reviewed, with staff aware of how to support people safely. The home was clean and infection control measures, including protective equipment, were in place.
“Infection control was well managed, and staff were aware of their responsibilities to keep people safe from infectious diseases.” from the report
Improved leadership
The provider had strengthened its management oversight, action plans and quality audits. A new manager had been recruited and the leadership team was being expanded.
“Managers and staff were clear about their role and had recently improved upon the governance and quality audits” from the report
Learning from concerns
The provider investigated concerns, worked with other agencies and shared lessons with staff. Relatives said they were kept informed about incidents and changes.
“Concerns were investigated and responded to and lessons learned were shared with the staff team to avoid the same concern being raised again.” from the report
Electronic medicines records
needs fixingThe electronic medicines system did not contain as much person-centred information as the paper records. The clinical lead said this would be addressed, and the report says further work was actioned after the inspection.
“However, the paper records were more detailed and person-centred than the device that was more frequently used.” from the report
Staffing pressure
needs fixingStaffing levels were being reviewed, but some feedback suggested staff were very busy and that an extra worker would help them spend more time talking with people.
“I am not sure there is enough staff, they are always very busy and changing staff.” from the report
- 01What changes have been made to the electronic medicines system so it contains the same person-centred information as the paper records?
- 02How are medicines stored safely when the monthly delivery arrives?
- 03How are staffing levels being reviewed, especially when staff are busy or the home is not full?
- 04Have the clinical lead and deputy manager now completed their recruitment checks, and what support is currently in place for the management team?
- 05What evidence will you use to show that safe care has been consistent over time?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 25 June 2021 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 Timperley Care Home
8 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- November 2022Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2021Goodup from Requires improvementSafe: Requires improvementWell-led: Good
- April 2021Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- October 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodWell-led: Requires improvement
- January 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 30 September 2011.
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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