Updated 21 January 2026
Date of Assessment: 3 to 9 January 2026.
This service is a nursing care home providing support to people living with dementia. At the time of the inspection 27 people lived at the service.
We carried out this comprehensive assessment in line with CQC’s assessment priorities.
People’s needs were assessed prior to them moving into the service. Information of care needs assessed by the local authority and information from people and their relatives was used to inform people’s initial care plans and risk assessments.
People were protected from the risks of abuse and staff were trusted to keep them safe. The provider had systems in place to review and investigate accidents, incidents and safeguarding concerns.
Medicines were not managed safely. The provider was in breach of the legal regulation relating to safe care and treatment.
The building and facilities were suitable for the people who used them and were in good condition. However, compliance checks to ensure the safety of the building, environment and facilities were not always up to date.
Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults. Staff had the necessary safety checks in place before starting work and completed a full induction.
All relevant staff, teams and services were involved in assessing, planning and delivering people's care and support. Staff worked collaboratively to understand and meet people's needs.
Overall, the service was working within the principles of the Mental Capacity Act 2005 (MCA). People’s views and decisions about care were incorporated within their care plans. This helped staff to support people in a way that allowed people to have control over their lives and make day-to-day decisions.
Staff were kind, respectful and caring.We observed staff engage with people in a friendly and caring manner and their conversations with people were good natured.
People and relatives were encouraged to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people and relatives in decisions about their care.
People were supported with their end of life care appropriately. End of life care was compassionate and respectful.
The registered manager demonstrated a positive, compassionate and listening culture. People and their relatives told us they could raise concerns about their care and support when they needed to. They felt able to approach and speak with management and staff.
Governance systems were in place to monitor the standard of care people received. However, the provider’s auditing systems were not always robust and did not identify the issues we found during this inspection around medicines and maintenance checks.