CQC report explained · a nursing home
What the CQC found at Twyford House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2022
Rated Good; inspectors found safe, kind and personalised care across all five areas they checked.
This was an unannounced, planned inspection to give the newly registered home its first rating. The inspector visited on 26 September and 6 October 2022, spoke with people, relatives and staff, and checked care, medication, recruitment and other records.
Inspectors found that people were safe, with suitable staffing, up-to-date risk assessments and robust medicines systems. The building was clean and well maintained. Staff had appropriate training, and people could access health professionals when needed.
People were treated with kindness, privacy and respect. Care plans were person-centred and current, and people had access to activities and trips. The management team monitored quality, listened to people's views and dealt with issues promptly.
Safe medicines
Inspectors found that medicines were stored safely, recorded properly and given when needed. Staff had medicines training and competency checks.
“People told us that they always received their medication when needed and that it was never missed.” from the report
Kind and respectful care
People were supported in a caring way. Staff respected privacy, knocked before entering bedrooms and provided personal care discreetly.
“People were supported in a kind and caring manner. Staff spent time reassuring people and providing explanations to them.” from the report
Personalised care
Care plans reflected people's needs, preferences and communication requirements. They were kept up to date and reviewed regularly.
“Care plans were person-centred and accurate.” from the report
Activities and relationships
People had a range of activities, including events in the home and regular trips to local places. Families could visit, including when someone was receiving end of life care.
“Activities included in-house events as well as trips out to places of local interest on a regular basis.” from the report
Quality monitoring
Managers used audits and checks covering areas such as medicines, activities, mealtimes and health and safety. Issues were addressed promptly.
“The service had a robust system for assessing the quality of care provided.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and update my relative's care plan when their needs or preferences change?
- 02How do you check that medicines are given correctly and that staff remain competent to administer them?
- 03What activities and trips would suit my relative's interests and abilities?
- 04How many permanent and agency staff are usually on duty in my relative's living unit?
- 05How will you involve our family in reviews and in decisions about care?
This was the home's first planned, unannounced inspection and covered all five CQC key questions, including infection prevention and control. This explanation was written from the published report of 4 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.
Every inspection of Twyford House
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2020
Registered with the Care Quality Commission on 24 August 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.
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 Cheshire East
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. 88 can care for a couple. 10 years' experience on average.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.