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CQC warns Orchard Care Homes.Com (3) Limited that it is failing to protect the safety and welfare of the people using the service

9 August 2012
  • Media,
  • Care homes with nursing,
  • Diagnostic and/or screening services

9 August 2012

Regulator demands immediate improvement at North Shields nursing home.

The Care Quality Commission has issued a formal warning to Orchard Care Homes.Com (3) Limited, registered provider of Appleby care home, Military Road, North Shields, Tyne and Wear stating that they must make urgent improvements to standards of care or face further action.  

The warning follows an unannounced visit by inspectors to the home on 19 June 2012, carried out to check compliance against previously identified shortfalls in the management and recording of medicines. A Pharmacist Inspector with the Care Quality Commission carried out the inspection of Appleby.

  • CQC inspectors found, when they examined a sample of records, that some medicines could not be administered because supplies for some service users had run out, and some medicines were not always administered at the prescribed times which meant that the medicines may not have been fully effective.
  • There was insufficient guidance for the covert administration of medicines mixed with food or drink to ensure staff administered these medicines in a safe, appropriate and consistent way.
  • Inspectors were concerned that the procedure for the administration and recording of prescribed creams and moisturising creams delegated to carers was not properly managed.
  • New procedures which had been introduced to improve the management of medicines were not always being followed or closely monitored by the home manager.

Malcolm Bower-Brown, Deputy Director of Operations for CQC in the North, said:

"The law says that these are the standards that everyone who uses services should be able to expect. Providers have a duty to ensure that they meet these standards.

“This warning sends a clear and public message that Orchard Care Homes.Com (3) Limited needs to address this issue as a matter of urgency or face serious consequences.

“Our inspectors will return to Appleby in the near future and if we find that the provider is not making the required progress we won’t hesitate to use our legal powers to protect the people who live there.”


For further information please contact the CQC Regional Communications Team, David Fryer 07901 514 220 or Kirstin Hannaford 0191 233 3629.

The CQC press office can be contacted on 0207 448 9401 or out of hours on 07917 232 143.

Notes to editors

CQC has issued a warning notice to Orchard Care Homes.Com (3) Limited requiring compliance with:

  • Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (the Regulated Activities Regulations 2010), (outcome 9) Management of Medicines

A deadline of 14 August 2012 has been given for improvement. If this deadline is not met, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards.   Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.