- Care home
Wall Hill Care Home Limited
Assessment report published 18 December 2025
Contents
Ratings
Our view of the service
Date of Assessment: 14 October to 26 November 2025. The service is a residential care home providing support to older people, people living with mental health conditions, physical disabilities and dementia. We carried out this inspection in response to previous enforcement action taken following the last inspection which placed the provider into special measures.
The provider had made significant improvements since the last inspection, including improvements to monitoring systems and the management of medicines. Safeguarding practices had also improved, particularly within areas such as incident monitoring and referrals. However, further improvements were needed when escalating concerns to healthcare professionals and ensuring care plans accurately reflected people’s current needs.
Health and safety checks were in place, and the environment was well maintained with appropriate equipment available to support people.
Staff worked well across teams and services, and there was evidence of improved coordination with external professionals. Staff were supported to deliver care in line with best practice, and consent processes were followed in accordance with the Mental Capacity Act 2005.
Staff consistently treated people with kindness, compassion and respect. Care was personalised, with staff recognising and responding to individual needs, preferences and interests. Staff responded promptly to people’s immediate needs, helping to reduce distress and discomfort. The provider promoted staff wellbeing.
The provider delivered person-centred care. Meaningful activities were being actively promoted with a focus on people’s interests and wellbeing. Accessible information and dementia-friendly adaptations supported equity in experience.
Leadership and governance had improved since the last inspection, with a stronger focus on person-centred care. While further development was needed in areas such as care planning, monitoring and internal communication, leaders demonstrated a commitment to learning and improvement. New systems and initiatives had been introduced, and staff described a more positive culture. The provider had made significant progress, and there was a clear direction towards continued improvement.
This service has been in Special Measures since 20 May 2025. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
The provider was previously in breach of 4 legal regulations: safe care and treatment, person-centred care, safeguarding people from abuse, and good governance. Improvements were found during this inspection, and the provider was no longer in breach of person-centred care and safeguarding people from abuse; however, not enough improvements were found in relation to safe care and treatment and governance. Therefore, the provider remained in breach of these 2 regulations. We have asked the provider for an action plan in response to the concerns found at this inspection.
People's experience of this service
People and relatives consistently told us they felt safe with the care and support provided. People told us staff supported their choices and helped them manage their medicines. Relatives described the home as clean and homely, noting recent refurbishments. People and relatives told us there were enough staff available to support people safely.
People and relatives described improvements in care and support. They told us care was more consistent, and staff communicated well with them and external professionals. People said they were supported to make their own choices and felt their rights were respected. Relatives shared examples of staff monitoring health needs and involving them in decisions. People enjoyed the meals and activities provided, and staff were seen engaging positively with them.
People told us staff were kind, compassionate and respectful in their approach. They felt listened to and supported in ways that reflected their individual needs and preferences. Where people were unable to verbally tell us about the care they received, we used the Short Observational Framework for Inspection (SOFI). SOFI is used by our inspectors to capture the experiences of people who use services who may not be able to express this for themselves. Relatives shared how staff promoted independence and encouraged their family members to do as much as they could for themselves. Relatives described staff as responsive during times of distress or emergency and felt reassured by the care provided. Overall, feedback from people and relatives reflected a caring culture.
People and their relatives told us care was person-centred, inclusive, and responsive to individual needs. People felt involved in decisions, supported to maintain hobbies and routines, and informed about changes in care.
Relatives told us they had seen improvements and felt the service was well led. They described the manager as visible and approachable, and said they felt able to raise concerns easily and were kept informed about changes and developments in the home.
While people expressed general satisfaction with their care and treatment, our assessment found elements of care required further improvement.