The Chiswick Nursing Centre

What inspectors found

From the Care Quality Commission's assessment published 3 November 2025 (assessment visit 26 June 2025). Quoted under the Open Government Licence.

1. Safe

   –No rating No rating

   Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

   The last rating for this key question was good. At this assessment the rating has changed to requires improvement.

   This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.

   The provider was in breach of legal regulation in relation to involving people to manage risk, safe and effective staffing and the ways people’s medicines were managed.

   We identified a breach of regulation 12 relating to safe care and treatment . We found recording of care plan and risk assessment information was inaccurate.

   We identified a breach of regulation 18 relating to staffing. We found staff were rushed when providing care above healthcare requirements due to the high level of people’s healthcare needs.

2. Effective

   –No rating No rating

   Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

   At our last assessment we rated this key question good. At this assessment the rating has changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

   We identified a breach of regulation 9 relating to person centred care meeting their needs and preferences.

3. Caring

   GGood Good

   Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

   At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

4. Responsive

   GGood Good

   Responsive – this means we looked for evidence that the provider met people’s needs. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

5. Well-led

   –No rating No rating

   Well-led – this means we looked for evidence that 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 good. At his assessment the rating has changed to requires improvement. This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

   The provider was in breach of legal regulation 17 in relation to systems or processes operated to effectively ensure compliance and good governance at the service.