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Ainsworth Nursing Home, Bolton, is placed into special measures by the Care Quality Commission

23 July 2015
  • Media

The Care Quality Commission (CQC) has told Ainsworth Nursing Home Limited that they must make urgent improvements at Ainsworth Nursing Home, in Bolton, in order to ensure the safety and well-being of people living there.

During an unannounced inspection in May this year inspectors found that the provider was failing to provide care which was safe, effective, responsive to people’s needs or well led.

Under CQC’s programme of inspections, all adult social care services are being given a rating to help people choose care. Overall, Ainsworth Nursing Home has been rated as Inadequate.

A full report from the inspection has been published on the CQC website:

The report highlights a number of areas of concern, including:

Care records did not always include sufficient guidance for staff to ensure that they knew how to fully meet people’s individual needs, and the language used within was not always respectful.

Risk assessments whilst completed did not contain sufficient information to help guide staff to minimise risks or prevent re-occurrence.

No formal audits were undertaken to check the management and administration of people’s medicines were safe.

Inspectors found there to be a strong odour in the dementia unit and many other areas of the home were in a state of disrepair and in need of refurbishment.

Not all staff had received adequate training or guidance as the home’s systems to train staff were insufficient and rarely recorded, and there was lack of clinical supervision for nursing staff to help them develop their skills.

The home had not been suitably modified to support those with dementia; there was a lack of dementia friendly signage or adaptations to the environment allowing people to navigate around the home.

The homes registered manager had been practising as a registered nurse without being legally entitled. There was no reference to checks being made against the Nursing and Midwifery Council register (NMC).

The provider did not have an effective system in place to regularly assess and monitor the quality of service that people received, and many of the home’s policies were out of date.

Debbie Westhead, CQC’s Deputy Chief Inspector of Adult Social Care in the North, said:

“At our recent inspection we found many of the concerns from our previous visits had not been fully addressed, with some areas of the home continuing to be unsafe and some care posed a risk to the people living there.

“It is unacceptable that the provider has not made significant improvements to the service following our previous visits. Robust systems should be in place to monitor the quality of the service and check on the required registration of staff. It is of significant concern that the provider still did not have such systems in place to halt the deterioration in the service.

“The provider has a responsibility to ensure that people are safe and protected from the risk of harm. All people living at the home have a right to receive care which is of a high quality, compassionate and safe.

“Because of our findings we are currently considering the need for further regulatory action against the service, to protect the rights of the people there, but due to legal reasons we cannot comment further at this stage."


For further information please contact CQC Regional Communications Officer Mark Humphreys on 0191 233 3519. For media enquiries about the Care Quality Commission, please call the press office on 020 7448 9401 during office hours. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here (please note: the duty press officer is unable to advise members of the public on health or social care matters).

For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

CQC has published a full report detailing the findings of their inspection:


In October 2014, CQC began to roll out its new inspection regime for adult social care services across England, using specialist teams who will inspect and rate services against what matters to the people who use them.


Since 1 April, providers have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. For further information on the requirement for providers to prominently display their CQC ratings, please visit:


Special Measures All adult social care services inspected since 1 April 2015 that receive an overall rating of Inadequate will be placed into special measures by CQC. The regime is designed to make sure there is a timely and coordinated response to Inadequate care and we will use it alongside our


When a service is in special measures it is the provider’s responsibility to improve, seeking appropriate support from its own resources and from other relevant organisations. When we can, we will signpost providers to improvement support agencies.


Those services will be inspected again within six months. If a service demonstrates improvements and is no longer rated as inadequate for any of the five key questions we will take it out of special measures. If sufficient improvements have not been made and there remains a rating of inadequate for any key question or overall, we will take further action which may include cancelling the registration of that service


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.