Updated 22 June 2026
Date of assessment 29 June and 2 July.
The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken.As a result,this inspection did not examine the circumstances of the incident.
However, the information shared with CQC about the incident indicated potential concerns about the management of risk of falls. This inspection examined those risks.
The service is a care home supporting people with dementia and physical disabilities. At the time of the assessment, 22 people were receiving a regulated activity.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disabilityrespect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
The environment did not always promote the delivery of safe and person-centred care. Risks were not always managed safely, including risks relating to falls. For example, falls risk assessments did not contain all relevant information such as when people were prescribed blood thinners. The provider was reviewing staffing levels to ensure staff could always respond to people’s needs promptly.
Choice and independence were not always promoted and people were not always treated as individuals. Governance systems had not identified the shortfalls found during this assessment.
However, staff spoke positively about working for the service and professionals provided positive feedback. Staff worked well together as a team and received regular supervision and support. Leaders were committed to improving the service and were working from a service improvement plan. Leaders were open and responsive to the feedback from this assessment.
We identified 3 breaches of the regulations in relation to safe care and treatment, person centred care and governance.