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CQC report explained · a nursing home, run by Flixton House

Flixton Manor

2-8 Delamere Road, Urmston, Manchester, M41 5QL

Requires improvementpublished 15 February 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Medicines were not always managed or given safely. Other safety arrangements were positive, including staffing, recruitment, risk assessments, fire checks and infection control.
Effective?
Good
People's needs were assessed and reviewed, and they could access health professionals. Food and drink support was good, although staff training and supervision records had fallen behind and were being brought up to date.
Caring?
Good
People were treated with kindness, dignity and respect. People and relatives said they were involved in care decisions and kept informed.
Responsive?
Good
Staff responded to people's needs and concerns. There was a programme of group and individual activities, and communication needs were recorded.
Well-led?
Requires improvement
Leadership had improved since the new manager started, but quality checks had not found the medicines shortfalls. Training and supervision had also fallen behind, so improvement needed to continue and be sustained.
The latest report, explained

What inspectors found, February 2024

Requires Improvement; inspectors found kind, responsive care, but unsafe medicines systems and weak quality checks created risks.

This was an unannounced inspection on 13 and 14 December 2023. Inspectors spoke with people, relatives and staff, and reviewed care plans, medicines records, recruitment files and quality records. They also checked the building and infection control arrangements.

People and relatives were mostly positive about the care. Staff were described as kind, respectful and responsive. Inspectors found enough staff, safe recruitment, good support with food and health needs, and activities for people to join. The home had also improved since a new manager started.

The main problem was medicines management. Records and instructions were not always complete or followed, creating a risk of harm. The home breached Regulation 12. The overall rating is Requires Improvement, with Safe and Well-led also rated Requires Improvement. Effective, Caring and Responsive were rated Good.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors observed respectful interactions, reassurance and support with dignity and independence.

    Staff responded to people respectfully at all times, answering their questions, providing reassurance and doing so with a smile.from the report
  • Enough staff

    Inspectors found staffing levels were safe and staff had the checks needed before employment.

    Staffing levels were safe. There were enough staff to meet people's needs.from the report
  • Activities and personal support

    The home offered group activities, one-to-one activities and trips out. Staff had also gathered more information about people's interests.

    These included group activities, 1-1 activities and trips out into the community.from the report
  • Positive improvement

    The new manager had acted on concerns raised before the inspection, working with Trafford Council. Staff reported a marked improvement in leadership and the home.

    Trafford Council had acknowledged significant improvement had taken place.from the report
What inspectors were concerned about
  • Medicines were not always safe

    serious

    Instructions and records were incomplete or not followed. This included medicines given at the wrong time, hidden medicines, thickening powder and creams or patches. The provider acted during and after the inspection, but the issue created an increased risk of harm.

    The provider had failed to ensure safe systems for the management and administration of medicines.from the report
  • Quality checks missed problems

    needs fixing

    The home's quality assurance system did not identify the medicines problems found by inspectors. The manager agreed to add more oversight and new care and medicines systems were being considered.

    The quality assurance system had not identified the shortfalls in the management of medicines identified during the inspection.from the report
  • Training and supervision records had fallen behind

    needs fixing

    Staff training, supervisions and appraisals were not up to date after the previous manager left. An action plan was in place to bring them up to date.

    An action plan was in place to ensure all staff were up to date with supervisions, appraisals and their mandatory training.from the report
Questions to ask them, based on this report
  1. 01What specific changes have been made to ensure medicines are given at the correct times and according to manufacturers' instructions?
  2. 02How are you now checking records for thickening powder, covert medicines, creams and patches?
  3. 03What evidence can you show that all staff training, supervisions and appraisals are now up to date?
  4. 04How does a second senior staff member review incidents and medicines audits?
  5. 05What progress has been made with the planned refurbishment and new electronic care-planning and medicines systems?

This was an unannounced inspection covering all five CQC questions, including the building and care provided; it was prompted by concerns raised by Trafford Council and a whistle-blower. This explanation was written from the published report of 15 February 2024 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 Flixton Manor

4 rated inspections over 7 years: the service has improved, from Inadequate to Requires improvement.

  1. February 2024Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Flixton Manor

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. August 2018Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2017Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. January 2017Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  6. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. September 2011

    Registered with the Care Quality Commission on 5 September 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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