Archived: Southlands Nursing Home

Updated 12 August 2025

We carried out a responsive assessment of Southlands Nursing Home between 18 August 2025 and 2 September 2025. This assessment was prompted in part due to concerns raised to CQC and the length of time since the last inspection.

The provider was in breach of 5 legal regulations related to person-centred care, consent to care and treatment, safe care and treatment, good governance of the service and safe and effective staffing.

The provider failed to ensure the correct procedure was followed in relation to the Mental Capacity Act 2005 (MCA). The Mental Capacity Act (MCA) 2005 provides a legal framework for supporting people who may lack the ability to make certain decisions for themselves.

The providers governance processes were not robust, with audits and monitoring not identifying any of the issues we noted during the assessment. The systems and processes in place failed to ensure people’s records had enough detail. We found a number of examples where people’s care records were incomplete and did not contain sufficient information for staff to manage people’s specific needs, conditions or risks. We also found issues in relation to safe medicines management and infection control. People’s care records were not person centred and did not always consider people’s preferences.

The provider had not always ensured that staff received all training relevant to their role, this included ensuring that staff were suitably trained and skilled to support people with specific conditions.

The provider was previously in breach of the legal regulation in relation to person-centred care. Improvements were not found at this assessment, and the provider remained in breach of this regulation. At this assessment, the provider was also found to be in breach of the legal regulations relating to consent to care and treatment, safe care and treatment, governance of the service and safe and effective staffing.

We have asked the provider for an action plan in response to the concerns found at this assessment in relation to consent to care and treatment and safe and effective staffing.

In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.

Updated 12 August 2025

During the inspection we spoke with 6 people and 5 relatives.

We received mixed feedback from people and their relatives about their experiences of the service and the care provided. Some people and relatives spoke warmly about the care staff delivering care, comments included, “It’s nice. The people are friendly, caring” and “I’ve got to know the staff. They’re brilliant, I think of them as friends. I get on with all of them”. However, others felt there were aspects of the service that needed improvement.

During our assessment we found shortfalls in people’s experience of care, such as neglect of people’s personal care delivery. There were shortfalls in people’s care plans and risk management plans to ensure safe and consistent delivery of care. People’s experience of care was not always person centred. Records did not demonstrate how people were supported to be involved in making decisions around their care and support needs. Some people we spoke with did not feel there were sufficient numbers of staff on duty.

Where people at the service were living with dementia, we observed the environment did not always reflect best practice to support people with orientation around the home. People were not supported to engage in meaningful activities and appeared to have limited interaction.