Chorlton Place Nursing Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.

Leaders maintained oversight of quality, safety and risk through governance meetings, quality assurance processes, action plans and risk management systems. Records demonstrated that managers reviewed service performance, incidents, audits and improvement actions and used this information to monitor risks and drive improvement.

Staff told us leaders were visible and approachable and encouraged concerns to be raised. Staff described regular communication through meetings, supervision and governance processes and understood how learning from incidents and identified risks was shared across the service.

Leaders were able to describe the actions taken in response to previous concerns and how improvements had been embedded into everyday practice. Governance documentation and action plans demonstrated ongoing oversight of areas including medicines management, clinical monitoring, staff development and risk management.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

The provider had systems in place to monitor quality, manage risks and support continuous improvement. Managers used audits, governance meetings, clinical monitoring, action plans and risk registers to oversee service performance and the quality of care provided.

Governance records demonstrated oversight of key risks, including medicines management, safeguarding, staffing, falls, infections and clinical deterioration. Identified concerns were reviewed, actions agreed and progress monitored through established governance processes.

Leaders used information from routine monitoring, audits and governance systems to identify and respond to emerging risks. Records showed improvements were tracked and learning from incidents and reviews was used to inform changes to practice.

Leaders were able to provide examples of concerns being identified and addressed through routine oversight, including medicines management, oxygen therapy arrangements and clinical monitoring processes, providing assurance that governance systems supported the timely identification and management of risks.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research.

Incidents, safeguarding concerns, medicines issues and other risks were reviewed to identify lessons learned and support improvement. Actions arising from reviews were monitored through governance processes and improvement plans.

Learning from audits, incidents and routine monitoring was used to improve medicines management practices. This included strengthening medicines oversight, storage arrangements, staff competency assessments and monitoring systems to support safer care. Evidence demonstrated that learning was shared within the service and across the wider organisation.

Staff told us learning was shared through meetings, handovers, supervision and governance processes. Staff understood changes introduced following previous concerns and how these affected their practice. Records demonstrated that improvement activity was monitored through governance systems and action plans.

Leaders also used information from routine monitoring, audits and operational reviews to identify opportunities for improvement and respond to concerns at an early stage.