Updated 10 October 2025
Date of Assessment: 30 October to 11 November 2025. The service is a residential care home providing support to older people, and people living with dementia. At the time of this inspection, 17 people were being supported.
The provider was previously in breach of legal regulations regarding good governance. Improvements were found at this assessment, and the provider was no longer in breach of this regulation. However, we found further improvement was required with record keeping, the comprehensiveness of some people's care plans and risk assessments, and with the provider's governance processes.
People were protected and kept safe. Staff understood and managed risks; people’s risk information was updated during this inspection. The facilities and equipment met people’s needs, were clean and well-maintained. There were enough staff with the right skills, qualifications, and experience to meet people’s needs. Staff received training and supervisions, and refresher training was planned and scheduled. Staff did not always manage people’s medicines safely and involved people in planning any changes.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff carried out risk assessments and reviewed these. However, some risk assessments were missing, and these were reviewed by the registered manager and put into place during this inspection.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity and understood and responded to their individual needs. People’s physical, mental, and social needs were holistically assessed and met. Care and treatment were coordinated with involvement from other relevant organisations.
There was an open and transparent culture within the management team with a clear focus on providing safe care. People and those important to them were involved in planning their care, where possible. The provider had a good learning culture and people could raise concerns.
Staff described a positive and open culture where they felt supported and able to raise concerns or suggestions. Concerns and complaints were managed appropriately, however, there was limited information on how the registered manager analysed trends and shared learning across the team to improve service delivery.