SafeAre people protected from abuse and avoidable harm?75%Good
See the breakdownHide the breakdown1 of 8 below good
Involving people to manage risksSome shortfalls
Infection prevention and controlGood
Learning cultureGood
Medicines optimisationGood
Safe environmentsGood
Safe systems, pathways and transitionsGood
SafeguardingGood
Safe and effective staffingExceptional
EffectiveDoes care achieve good outcomes and a good quality of life?71%Good
See the breakdownHide the breakdown1 of 6 below good
Monitoring and improving outcomesSome shortfalls
Assessing needsGood
Consent to care and treatmentGood
Delivering evidence-based care and treatmentGood
How staff, teams and services work togetherGood
Supporting people to live healthier livesGood
CaringAre staff kind, compassionate and respectful?80%Good
See the breakdownHide the breakdown1 of 5 exceptional
Kindness, compassion and dignityGood
Responding to people's immediate needsGood
Treating people as individualsGood
Workforce wellbeing and enablementGood
Independence, choice and controlExceptional
ResponsiveAre services organised to meet people's needs?75%Good
See the breakdownHide the breakdownAll 7 good
Care provision, integration and continuityGood
Equity in accessGood
Equity in experiences and outcomesGood
Listening to and involving peopleGood
Person-centred careGood
Planning for the futureGood
Providing InformationGood
Well-ledIs the home well managed, with a culture of high-quality care?82%Good
See the breakdownHide the breakdown1 of 7 below good
Governance, management and sustainabilitySome shortfalls
Capable, compassionate and inclusive leadersGood
Freedom to speak upGood
Workforce equality, diversity and inclusionGood
Learning, improvement and innovationExceptional
Partnerships and communitiesExceptional
Shared direction and cultureExceptional
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 25 good, 5 exceptional, 3 below good. Use “See the breakdown” on each key question for its standards. ?
CQC hasn't inspected this home for more than 5 years. It re-inspects based on risk, so an old rating doesn't count against a home on this site, but it may not reflect the home today. ?
Run by The David Lewis Centre, Adult Pathways 1 is a nursing home in Alderley Edge, Cheshire East with 126 registered beds. CQC registers it to look after older people, people with dementia, younger adults, people with a physical disability and people with a learning disability or autism. That is larger than most homes in Cheshire East, where the typical home has 44 beds.
49 other homes in Cheshire East share its tier, “Good”. It is one of 9 homes run by The David Lewis Centre. 9 of those with a rating are Good or Outstanding. Of the 6 closest rated homes, none is rated above it.
Its CQC rating, from August 2026, is Good across the board: overall and for every key question. Its previous rating, in November 2020, was Requires improvement, so the home has improved. The typical rating in Cheshire East is about 4 years old, so this one is fairly recent. CQC found some shortfalls in “monitoring and improving outcomes”, one of 3 standards out of 33 scored below good.
