- Care home
Estervin Court Residential Care Home
We imposed positive conditions on Regent Court Health Care Services Ltd on 22/07/2026 for breaches of regulation 11, 12, 17, 18, and 19 at Estervin Court Residential Care Home.
Assessment report published 17 April 2026
Contents
Ratings
Our view of the service
We carried out a comprehensive assessment of Estervin Court Residential Care Home between 20 October 2025 and 29 October 2025. This assessment was prompted as the service had not been previously inspected.
During our assessment we observed care and reviewed people’s risk assessments, care plans and medicines administration records. We reviewed policies, procedures, training records, incident records and other relevant documentation.
The provider was in breach of 5 legal regulations related to need for consent, safe care and treatment good governance, staffing, and fit and proper persons employed at the service.
The provider’s governance processes were not robust, with audits and monitoring not identifying issues we noted during the assessment. There was a lack of effective oversight and monitoring of the service. Quality assurance systems and processes were not effectively implemented to ensure safety and drive improvement.
The provider did not always ensure all potential risks to people were understood and managed. People’s health was not always robustly monitored and people’s care plans lacked guidance in relation to the potential risks associated with their diagnosed specific medical conditions.
The provider did not have robust processes to identify potential health and safety issues. The provider had not ensured all risks to people had been mitigated and managed, for example, water safety, fire safety and window restrictors. Whilst there were audits completed, these did not identify all the issues we found.
The provider failed to ensure that medicines were consistently managed and stored safely.
Where people lacked mental capacity to consent to their care and treatment, best interest decisions had not been completed in accordance with the Mental Capacity Act 2005.
Staff were positive about working at the service, and they felt able to raise concerns to the management team. Recruitment processes did not ensure safe recruitment of staff.
Staff were kind, caring, and respectful towards the people in their care. Staff worked well with health providers for the best outcomes.
The management team were actively involved in the day-to-day running of the service.
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.
People's experience of this service
Risk assessments were missing for key aspects of peoples care needs, which increased the risk to those living in the same building. Support plans did demonstrate a holistic, person-centred approach to meet individual needs and guide staff in how to support people, however these were not always followed.
Information was not provided in a format to meet individuals’ needs.
The provider was unable to evidence they had sought feedback from people using the service.
Despite the issues we found, People we spoke with were positive about the quality of the care.
People told us overall they felt safe with the staff who supported them. One of the people told us they were involved with the planning of their care
People said they received care from staff who treated them well and they had regular care staff.
People explained they knew how to raise concerns with staff and knew who the management team were if they wanted to raise concerns directly with them.