Bridgewater Manor Care Centre

Updated 28 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by an inspector, a medicines inspector and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bridgewater Manor Care centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bridgewater Manor Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Prior to the inspection we reviewed information and evidence we already held about the home, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. We also asked for feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all of this information to plan our inspection.

During the inspection

We spoke with 11 people about the home and the care provided. We also spoke with 10 members of staff, which included the registered manager, deputy manager, nursing and care staff and an activity coordinator.

We reviewed a range of records and other documentation. This included 5 people’s care records, risk assessments, safety records, supplementary charts, audit and governance information. We also looked at medicines and associated records for 6 people.

After the inspection

We requested and reviewed additional evidence from the provider. This included staff rotas, staff supervision records, policies and procedures, accident and incident records and newsletters.

Updated 28 April 2023

About the service

Bridgewater Manor Care Centre is a purpose built nursing home situated close to Worsley in Greater Manchester. The home can support up to 71 people across 3 floors. The home supports people requiring residential, dementia and/or nursing care. At the time of inspection 48 people were living at the home.

People’s experience of using this service and what we found

Overall people’s medicines were managed safely, although we found some inconsistencies with record keeping around some people’s ‘when required’ medicines and modified dietary guidance.

We have made a recommendation about ensuring guidance is in place for all ‘when required’ medicines and modified dietary guidance is accurate across all systems within the home.

People felt safe living at Bridgewater Manor Care Centre and spoke positively about the care and support they received. We found enough staff were deployed to meet people’s needs and keep them safe. Staff knew how to identify and report safeguarding concerns and accidents, incidents and falls had been documented consistently. Reviews of accidents had been completed to look for any patterns and help prevent a reoccurrence. The home was clean with effective cleaning and infection control processes in place.

Staff received training, supervision and support which allowed them to complete their roles safely and effectively. People told us staff were competent and knew how to meet their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Overall, people were happy with the food provided and conformed they received enough to eat and drink. People’s healthcare needs were being met, with referrals made timely to professionals when necessary.

People described the staff as being kind, friendly, caring and patient. One person stated, “The staff are very kind, they work hard and are always dignified in the way they act.” People told us they were treated with dignity and respect, able to make choices regarding their care and encouraged to complete tasks for themselves, to help maintain their independence.

Care plans explained people’s needs and how they wanted to be supported. Peoples’ social and recreational needs were met through a daily activities programme, facilitated by activity co-ordinators and staff members. People spoke positively about the activities on offer. The complaints process was displayed around the home and people told us they knew how to complain, though all but one had not needed to.

The home used a range of systems and processes to monitor the quality of the service provided. Action plans were used to help drive improvements. People and staff told us the home was well managed and they felt involved in how the home was run, through regular resident and staff meetings and a monthly newsletter. People told us they would recommend the home to others.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 9 November 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service and to provide a rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.