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Regulator demands immediate improvement at Manchester care home

12 December 2012
Appleton Manor
HC-One Limited
  • Media,
  • Care homes with nursing

12 December 2012

CQC warns HC-One Limited that they are failing to protect the safety and welfare of the people using the service.

The Care Quality Commission has issued a formal warning to HC-One Limited, stating that they must make urgent improvements to standards of care or face further action.

The warning follows an unannounced visit by inspectors to Appleton Manor care home, Bredbury, Stockport in Manchester on 17 October 2012 to follow up requirements made during a previous inspection.

Appleton Manor provides 24 hour nursing care and support for up to 59 older people.

On the most recent inspection, it was found that the home was failing to comply with national standards required to ensure that the nutritional needs of people using the service were being met.

  • Inspectors were concerned that the assessment and monitoring of residents’ weight and nutrition were ineffective, and improvements were needed.
  • Inspectors found that three residents at risk of malnutrition had been weighed monthly, despite the requirement to do so on a weekly basis being stated in their care plans. Records showed that two of these residents had experienced significant weight loss during one month.
  • Residents’ food and fluid charts were not always complete, and in some cases information relating to the quantity of food and fluid which had been eaten or drunk, had not been recorded by staff. As a result, it was not possible to assess if adequate nutrition and hydration were being maintained.
  • Care plan guidance to encourage and support people to eat and drink was not always being followed and staff had not received training on nutrition and hydration, despite an agreement by the provider to implement this training following CQC’s inspection in July 2012.

Since the inspection in October, the provider has informed CQC it has been taking action to address the concerns raised. CQC have been working closely with the local authority and PCT to monitor improvements and have been encouraged by the initial progress that has been made.

Malcolm Bower-Brown, CQC’s director in the North said:

"The law sets out national standards that everyone who uses services should be able to expect. Providers have a duty to ensure they meet these standards. 

“This warning sends a clear and public message that HC-One Limitedneedto address these issues as a matter of urgency or face serious consequences.

“Our inspectors will return to the home 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 ensure residents are receiving the service they are entitled to expect.”


For further information please contact the CQC press office on 0207 448 9401 or out of hours on 07917 232 143.

Notes to editors

CQC has issued a warning notice to HC-One Limitedrequiring action to meet:  

  • Regulation 14, Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, Meeting nutritional needs.

A deadline of 12 December 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.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.