Wigan care service told it must improve after watchdog inspection

Nugent Community Choices’ site known as The Orchards, based in Billinge, was deemed to have “not always” managed medicines safely. Inspectors from the Care Quality Commission (CQC) noticed there had been errors in administering drugs as well as record-keeping.

The Orchards is a supported living service to assist individuals living with learning difficulties to build friendships, develop skills and improve their quality of life.

The inspection that took place back in July 2023 also found that not all staff had the training meaning the CQC “could not be assured they had the required skills or knowledge in some key areas.”

“From reviewing records, we noted training in learning disability, autism and mental health awareness was not included in the initial seven week induction process for new staff,” the report, published on September 11, said. “These are three of the main service user groups the provider is registered to support.

“The provider took action during the inspection to address this.”

The Hope Lane-based care service has stated it is already taking action to address the concerns raised by the CQC. Its actual care and responsiveness at the facility were praised by inspectors.

Out of the five total criteria points, the categories of safe, effective and well-led were deemed to be “Requires Improvement” – meaning that became its overall rating.

A spokesperson from Nugent said: “Understandably, we are disappointed that the Care Quality Commission has issued an overall rating of Requires Improvement. We have already implemented steps to resolve the issues identified and improve the service that we provide.

“It is important to note that the Care Quality Commission will award a rating of Requires Improvement where a breach of the regulations has been identified. In this case, administrative errors in the recording of medication notes were observed by the inspector that resulted in the breaches being awarded.

“This award was irrespective of the numerous positive practices noted by the inspector through the inspection report. The inspector reported that all medication is being administered correctly.

“The report recognises we promote a culture of person-centred care and highlights positive feedback received from the people supported, and their families, about their experience along with our robust safeguarding practices. Additionally, the report recognises that the service followed best practice standards which ensured people were treated with dignity, and their right to privacy, choice and independence in their tenancy was respected.

“Relatives reported that Nugent had made many adaptations for their loved ones so that they were able to continue doing the things they love. As a provider who is open and transparent we would welcome people to read the report in full, where the reader will be able to see the positive comments that the inspector has observed during their visit.”

Nugent, as a registered charity, provides care and education for vulnerable children, young people, and adults, through its care homes, school, community, and social work services.

According to the company, all of Nugent’s other services are rated as at least “Good” with the Care Quality Commission or Ofsted.