Updated 19 December 2025
Date of assessment: 9 February to 23 February 2026. The service is a residential care home supporting up to 27 older people, some who were living with dementia. At our last assessment we identified breaches of regulation in relation to safe care, good governance, safeguarding and employment of fit and proper people. We issued warning notices in relation to safe care and good governance. We completed this assessment to check the provider had taken action to address the breaches and found improvements had been made.
The provider had complied with the warning notices and the breaches in relation to safe care and treatment, safeguarding and employment of fit and proper people had been met. However, we found there continued to be a breach of good governance.
There was a new manager who had been in post 2 months at the time of our assessment who was in the process of starting their registration with CQC. They had prioritised improvements related to the warning notices and keeping people safe, they acknowledged further improvements were needed. Concerns relating to infection control and the environment included, chipped tiles in rooms, or tiles which were falling off the wall. There was furniture which was chipped and peeling which could not be cleaned effectively. The manager had completed an audit of the service and identified some shortfalls. However, they had not compiled an action plan to show how they were going to rectify the shortfalls. The provider had completed regular checks but had not identified the shortfalls found by our assessment or the manager. Following the assessment, the provider had replaced the tiles and some furniture.
People were now protected from potential harm, abuse and discrimination. Staff understood their role to report concerns and were confident they would be acted upon. Potential risks to people’s health and welfare had been assessed and there were detailed person-centred guidance for staff to mitigate risks. There had been improvements in the management of medicines, however, some of the records were not always accurate. There were enough staff to meet people’s needs. Staff had received training and supervision; the manager had started to complete competency assessments. There had been no new staff employed since the last assessment, but the manager had reviewed staff recruitment files to make sure all the required information had been obtained.
People’s capacity had been assessed and detailed in their care plans, staff supported people following the principles of the Mental Capacity Act. Staff referred people to healthcare professionals when their needs changed and had followed the guidance given.
This service has been in Special Measures since 11 November 2025. The provider demonstrated improvements had 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.