Manor Care Home - Middlewich

The following is CQC's published account of its assessment, published 22 September 2025. References to “we” mean CQC. It describes findings at that time.

Date of assessment 10 to 17 June 2025. Manor Care Home – Middlewich is a residential care home registered to provide personal care and accommodation for up to 48 adults of all ages. There were 44 people living at the home at the time of this assessment, some of whom were living with dementia. This was an unannounced, responsive assessment, prompted by concerns reported to the Care Quality Commission regarding safe care and treatment. During the assessment we looked at all 5 key questions. At the last inspection the rating was good, at this assessment the rating has changed to requires improvement.

We identified 3 breaches of the legal regulations in relation to safe care and treatment, dignity and respect, and good governance.

We found care plans and risk assessments did not always contain sufficient or up-to-date information to support the delivery of safe care. Risks to people had not been consistently identified or mitigated. People did not always receive their medicines safely. Systems and records were not always sufficiently robust to demonstrate risks to people’s health and safety were effectively monitored. Fire safety concerns were not identified. People were not always treated with dignity and respect. Governance systems in place failed to identify the concerns found during the assessment. The provider was open to feedback and had already started to address the concerns raised.

We found staff were safely recruited, received appropriate training and followed correct procedures for infection prevention and control, including the use of personal protective equipment (PPE). The provider was transparent with sharing concerns to the local authority. Incidents were investigated and complaints managed with outcomes communicated to those involved. The provider worked in collaboration with partners to successfully reduce unnecessary hospital admissions and falls reductions.

We have asked the provider for an action plan in response to the concerns found at this assessment.