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Lower Bowshaw View Nursing Home Good

Inspection Summary

Overall summary & rating


Updated 18 June 2021

About the service

Lower Bowshaw View Nursing Home is a residential care home which provides personal and nursing care to older adults. The home can support up to 40 people in one adapted building over two floors. There were 20 people using the service at the time of this inspection.

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

Significant improvements had been made to the way the service assessed and managed risks and to the planning and review of people’s care. This supported staff to deliver person-centred care to people which met their needs. People were happy with the care they received. A range of activities were provided to keep people occupied and entertained. People’s relatives were being supported to visit the home in a safe way, in line with governance guidance during the COVID-19 pandemic.

We have made a recommendation about staffing levels. We identified staff could be deployed more effectively during busy periods in the day, such as during the morning medicines round. Some improvements were needed to the provider’s recruitment practices. People received their medicines, as prescribed, though records for the support people received with some creams required improvement to ensure they were consistently completed. People were protected from the risk of infection. Staff wore personal protective equipment and the home was regularly cleaned.

People were supported by staff who knew how to meet their needs effectively. Staff felt well supported in their roles. 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. People were provided with good quality food options, in line with their individual needs and preferences.

The registered manager had ensured necessary improvements were made to the service since the last inspection. A range of checks and audits were completed to identify issues and continuously improve the service. A new system had been introduced to support the provider to have increased oversight of the management of the home and the quality and safety of the service. People, relatives and staff all provided positive feedback about the way the home was being managed.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 8 August 2020) and the provider was in breach of regulations relating to safe care and treatment and good governance.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 29 January 2020. Breaches of legal requirements were found. The provider completed an action plan after that inspection to show what they would do and by when to improve the governance systems and the safety of the service.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions of ‘is the service safe?’, ‘is the service effective?’, ‘is the service responsive?’ and ‘is the service well-led?’ as these are the key questions in which we previously identified concerns.

The rating from the previous comprehensive inspection for the key question of ‘is the service caring?’, which was not looked at on this occasion, was used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection. You can read the report from our last comprehensive

Inspection areas


Requires improvement

Updated 18 June 2021

The service was not always safe.

Details are in our safe findings below.



Updated 18 June 2021

The service was effective.

Details are in our effective findings below.



Updated 18 June 2021



Updated 18 June 2021

The service was responsive.

Details are in our responsive findings below.



Updated 18 June 2021

The service was well-led.

Details are in our well-led findings below.