Gateford Hill Care Home

Gateford Hill Care Home is a residential care home providing personal and nursing care to older adults with physical healthcare needs and people living with dementia. At the time of the assessment the service supported 35 people. The last focused assessment of Gateford Hill Care Home was published 14 May 2025; there was no overall rating given at this inspection. The key questions Safe and Well-Led were rated Inadequate. This is the services first full assessment and the overall rating for Gateford Hill Care Home is Good. This is based on the findings at this assessment. We found significant improvements had been made since our last assessment and the provider was no longer in breach of any regulations. Medicines were now managed safely; the provider had sought specialist support to improve the management of medicines. Risks relating to the environment had been resolved with extensive work carried out to ensure the safety of the home. Staffing levels had increased to ensure people received care in a timely manner. Staff had undergone further training to ensure people received high quality person-centred care. We observed staff to treat people with dignity and kindness. The providers’ systems and processes were being utilised to ensure any quality concerns were identified and timely action was taken to improve the quality and safety of care. A new management team had been introduced. The management team were supported and inducted by the providers senior leadership team. The provider worked with the staff team, management and partners to address and rectify the issues raised during the last assessment of Gateford Hill.

Gateford Hill Care Home is a residential care home providing personal and nursing care to older adults with physical healthcare needs and people living with dementia. At the time of the assessment the service supported 58 people. The last rating for Gateford Hill Care Home under the previous provider was good. This provider was registered with us on 19 October 2023, and this is their first assessment. We have identified breaches in relation to person-centred care, consent, safe care and treatment, nutrition and hydration, safeguarding, the environment, staffing and governance systems. Medicines were not managed safely. Risks were not always identified, and staff did not always have guidance in place to reduce risks to people. Risks relating to the environment had not been identified or managed. Infection prevention and control measures did not protect people from the risk of infection. Staff did not always recognise incidents as safeguarding concerns. This placed people at an increased risk of harm. There were not enough staff on duty to ensure people were provided with food and drink in a timely manner. There were not enough staff on duty to meet people’s needs safely. People did not receive person-centred care and support. People’s rights were not always respected under the Mental Capacity Act. The registered manager did not have effective oversight and failed to act on known concerns. We found governance systems were ineffective and had either failed to identify issues or where issues had been identified timely action was not taken. We asked the provider for an action plan in response to our concerns, the provider responded in a timely manner addressing the issues we found.