Updated 29 October 2025
Date of Assessment: 6 to 20 January 2026. The service is a residential care home providing support to 24 older people some of whom were living with dementia. We assessed the service to follow up on action we told the provider to take at the last inspection. At this assessment we found the service had made improvements.
The provider was previously in breach of the legal regulation in relation to safe care and treatment, and we had served a requirement notice. There had been improvement at this assessment, and the provider was no longer in breach of this regulation.
The provider was previously in breach of the legal regulation in relation to safeguarding, specifically, paperwork and processes which were had not been completed correctly or organised effectively to evidence how people were supported in the least restrictive way when they were deprived of their liberty. There had been improvement at this assessment, and the provider was no longer in breach of this regulation.
The provider was previously in breach of legal regulation in relation to person-centered care, and we had served a warning notice. There had been improvement at this assessment, and the provider was no longer in breach of this regulation.
The provider was previously in breach of legal regulation in relation to good governance, and we had served a warning notice. There had been improvement at this assessment, and the provider was no longer in breach of this regulation.
The provider had made improvements to their systems and processes and there was an emergent culture of learning in place within the service. The new systems and processes needed to be embedded and sustained into practice. The provider had made improvements to people’s care plans so information better reflected people’s specific care needs and were more person-centred. The provider had made improvements to safeguarding processes following our previous inspection and they shared concerns quickly and appropriately with the local authority. The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care which met people’s individual needs. Medicines were administered safely and members of staff involved people in planning, including when changes happened.
Developments and improvements to care planning and review processes needed to be sustained and embedded. The provider worked well across teams and services to support people. The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The provider had an understanding of the Mental Capacity Act 2005 and how assessments of people’s capacity to make informed decisions should be made.
People were treated with kindness, empathy and compassion and their privacy and dignity were respected. People were treated as individuals and the provider made sure people’s care, support and treatment met people’s needs and preferences. People were treated with dignity and respect by members of staff and supported to make choices throughout the day. When people required support, members of staff responded to their needs quickly and efficiently. Calls bells were not left ringing for long periods of time.
Improvements had been made to people’s care plans, and the provider recognised the changes and developments to person-centred care needed to be sustained and embedded into practice. Members of staff involved people in decisions about their care and told them what had changed as a result. The management team had supported changes and improvements to person-centred care which needed to be sustained and embedded to ensure continuous improvement to the service.
The provider and the management team had implemented a programme of change and transformation across the care home to make improvements to the service following our last inspection. The management team were well organised, kind and open to new ideas required to make improvements to the service. The new systems and processes needed to be embedded in to practice to ensure sustained and continuous service improvement. The provider had made changes to the leadership and management team which had, in turn, supported change and transformation in the provision of person-centred care and support to people. The learning following our last inspection and the changes to systems and processes needed to be embedded and sustained throughout the service to support continued improvement.
This service had been in Special Measures since 15 September 2025. The provider demonstrated improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions and, therefore, the service is no longer in Special Measures.