Updated 2 June 2025
Date of assessment; 16 June 2025 to 24 July 2025. This assessment was carried out in response to information of concern we received about the service relating to safe care and treatment and staffing. Fryers House – Care Home with Nursing Physical Disabilities isa nursing home which provides personal care and nursing care to adults. At the time of our assessment 18 people were using the service. We undertook a comprehensive inspection and reviewed all 33 quality statements related to the 5 key questions, Is the service safe, effective, caring, responsive and well-led?
We identified breaches of regulations relating to safe care and treatment, safeguarding, staffing, consent, person-centred care, recruitment and governance. The service had an inconsistent approach to risk management. They did not consistently assess risks to people's health and safety or always take appropriate action to mitigate identified risks. People’s care plans were not always sufficiently detailed to guide safe, effective and person-centred practice. Systems and processes to manage medicines safely were not effective. Consent was not consistently obtained following legislation and best practice. Leadership instability had impacted the service, resulting in inconsistent oversight and weakened risk management. Although governance arrangements were in place, they were not operated effectively to monitor and improve the quality of care.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found the provider did not always meet the requirements of this guidance as people’shumanrightshad not always been upheld where restrictions had been placed on them, and they could not consent to those restrictions; people had not always had decisions made in line with current legislation where they lacked capacity or had fluctuating capacity.
Staff and leaders engaged openly and transparently throughout the assessment, demonstrating a commitment to learning and improvement. The provider had a detailed service improvement plan and was responsive to feedback throughout the assessment, taking action and identifying steps to address the concerns and strengthen their improvement plan. We have asked the provider for an action plan in response to the concerns found at this assessment.