During an assessment under our new approach
Date of assessment: 16 February to 10 March 2026. 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 15 people were using the service. We carried out a responsive assessment in response to information of concern received and to follow up on the findings from the last assessment, reviewing 24 quality statements across the five key questions: Is the service safe, effective, caring, responsive and well‑led?
Since the last assessment, we found clear improvement in several areas. The service was more effective, caring and responsive, with people experiencing more person‑centred care, improved engagement in meaningful activities and greater involvement in decisions about their care. Staff were visibly more engaged, and people told us they felt listened to and valued. Care planning, assessment, monitoring of outcomes and safeguarding practice had improved, and people experienced care that better reflected their individual needs and preferences.
However, the service was not consistently safe. We identified continued shortfalls in the management of medicines and the recruitment of staff, which meant people remained exposed to an ongoing risk of harm. These concerns reflected learning from previous assessment findings that had not yet translated into sustained, embedded improvement in these areas. The provider remained in breach of legal regulations relating to safe care and treatment, staff recruitment and governance.
Since the last assessment, leadership and governance had strengthened at service level, with a positive impact from a newly appointed interim manager. People and staff spoke very positively about the manager’s visibility, openness and person‑centred leadership. However, leadership arrangements and governance systems were not yet fully embedded or assured. This limited assurance that improvements would be sustained over time.
We expect providers supporting people with a learning disability and autistic people to follow the principles of Right support, right care, right culture, ensuring people experience dignity, choice, independence and inclusion. At this assessment, the provider demonstrated improvement in how people were supported to live as ordinary lives within their community. However, further work was needed to ensure people were consistently supported safely and that systems were strong enough to uphold people’s rights and protect them from avoidable harm.
The provider demonstrated openness, responsiveness and insight throughout the assessment. Leaders engaged constructively with findings, acknowledged where progress had not been made, and took prompt action to address immediate concerns. The provider had a comprehensive service improvement plan in place, which leaders were using to drive improvement. We have requested an action plan setting out how the provider will address the remaining concerns identified at this assessment and provide assurance that improvements will be sustained.