Chorlton Place Nursing Home

Staff worked with health and social care professionals and referred people for help when needed. Professionals said staff noticed deterioration and knew how to escalate concerns.

“Staff notice deterioration in people and know how to escalate.” from the report

Staff completed a range of training and a comprehensive induction programme. People said that well-trained carers knew what they were doing.

“The good carers care and know what they are doing and are well trained.” from the report

People generally had enough food and drink and could choose what they wanted to eat. Staff supported people during meals and showed meal options when needed.

“The food is good and you can have a choice.” from the report

People and families knew how to raise concerns and could ask to speak with the manager. The home had complaints policies and procedures.

“If I want to speak to the manager, I ask the staff to arrange a meeting which they do.” from the report

Some medicines were given at the wrong time, including insulin. Records for medicines, creams and thickened fluids were not always accurate, and some medicines were not stored safely.

“Medicines were not always managed consistently, and this meant that medicines were not always managed safely which placed people's health at risk of harm.” from the report

People did not always feel there were enough staff, and inspectors saw communal areas left without staff for lengthy periods. Call bells and requests for help were not always answered promptly.

“We observed staff were not always visible within communal areas to attend to people's needs in a timely way” from the report

Some people said staff spoke abruptly or did things without warning. People’s personal preferences were not always followed, and some had to ask repeatedly for help to use the toilet.

“The provider had failed to ensure that service users are treated with dignity and respect.” from the report

The new electronic care plans did not always contain the personalised detail found in the previous paper records. They did not always explain people’s needs, preferences or how to support independence.

“The new care plans lacked the personalised detail which had been in the paper records.” from the report

Staff did not always remove or use protective equipment correctly or manage clinical waste safely. Some damaged surfaces also made effective cleaning harder.

“We saw a staff member using a wheelchair to transport clinical waste and then use the same wheelchair to transfer a person.” from the report

The home’s monitoring systems did not identify or address several problems, including medicines and infection control issues. There were no action plans for some identified concerns.

“The provider's quality assurance systems failed to identify and/or address in a timely manner some of the shortfalls we found at the inspection” from the report