- Care home
Hillbeck Residential Care Home
Assessment report published 3 September 2025
Contents
Ratings
Our view of the service
Hillbeck Residential Care Home provides care and support for older people, some of whom may be living with dementia. Some people also have physical disabilities. We completed this assessment on 8 August 2025. We found 4 repeated breaches of the legal regulations in relation to safeguarding people from abuse, safe care and treatment including the management of medicines, the competency of staff and poor governance. The management of risks was not robust which placed people at risk. Incidents were not analysed to look for themes and trends. Safeguarding concerns were not always being reported by leaders and staff. Staff were not competent in their delivery of care and supervisions were not effective in addressing poor performance. Staff did not always feel supported or listened to. Leaders failed to ensure the robust oversight of people’s care and staff conduct.
There were elements to the management of risks around people’s care that had improved particularly around oral health. The deployment of staff had improved since the last inspection.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and / or appeals have been concluded. This service will remain in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
People and relatives fed back positively about the caring nature of staff and the leadership team. However, relatives also fed back that the oversight of the risks associated with their loved one’s care could be improved upon by senior staff. Risks associated with people’s care were not being undertaken in a safe way including around the management of skin tears, falls, malnutrition and constipation.
People were not always receiving their ‘as and when’ medicines as prescribed which placed them at risk of harm. People were not being protected from the risk of abuse. Where incidents of alleged abuse occurred, robust investigations were not taking place. People’s representatives did not always have an opportunity to have formal meetings to give feedback.