Archived: Lyme Regis Care Home with Nursing

Lyme Regis Care Home with Nursing is a nursing home for up to 27 people. The inspection took place between 14 January 2026 and 2 February 2026. This inspection took place to assess if improvements had been made since we last inspected in July 2025. We looked at all 5 key questions as well as the concerns cited in warning notices, served after the last inspection.

We found the provider remained in breach of regulations. Whilst we found some improvements had been made to the environment, further improvements were needed to protect people from potential risks and avoidable harm. The provider had not made all the required improvements following the previous inspection and we found further concerns at this inspection. The service remains rated requires improvement. We have requested action plans for other breaches of regulation.

Risks to people were not always effectively assessed meaning care plans did not always accurately reflect how staff should safely meet people’s needs. While some improvements had been made, areas of the service required maintenance and updating. For example, some radiator cabinets were broken or not fixed to walls and some doors were damaged.

People were not always protected from the risk of infection. Throughout the premises, fixtures and furniture was chipped and had porous surfaces where cleaning harmful bacteria would notbe possible. Areas throughout the service were visibly unclean and items such as toothbrushes were not hygienically stored.

People were supported to see GPs as needed and the Frailty Team visited regularly. However, we found 2 people who had recently decided they could not eat solid food or take tablets due to swallowing difficulties who had not been referred for professional assessments.

Audits had not identified and addressed concerns we found in different areas of the service. The service had experienced changes to the leadership team and this had resulted in inconsistent oversight and improvement in the service. At the time of this inspection, a permanent manager had been appointed and deputy manager was being recruited with a plan to creating a more consistent leadership team.

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.

We have asked the provider for an action plan in response to the concerns found at this inspection.

Lyme Regis Care Home with Nursing is a residential care home providing accommodation for up to 27 people who require nursing or personal care. The service provides support to older people, some of whom live with dementia, and people who have a physical disability. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. At the time of our inspection there were 26 people using the service.

Accommodation is provided over 2 floors. There are 2 lounges located on the upper floor, main lounge including dining area in the centre and a smaller quiet and visitors lounge, accessible to all people. Both floors are accessed by a lift and stairs. There are outside spaces for people to enjoy, and all have level access.

The assessment took place between 22 July and 13 August 2025. We visited the service on 22 and 23 July 2025. During the inspection we assessed the quality statements under all key questions of safe, effective, caring, responsive and well led. We inspected this service partially because of concerns received about the quality and safety of the care provided in the home and as a newly registered service under a new registration on 2 April 2024. New services are assessed to check they are likely to be safe, effective, caring, responsive and well-led.

Potential risks in the care environment were not always detected and effectively mitigated. The safety of the premises, communal and personal spaces (such as bedrooms), and the living environment were not always checked and managed to support people to stay safe.

The provider did not follow national guidance in relation to infection control. The premises the provider was responsible for were not clean and hygienic.

People did not always receive their medicines in a safe way, and as prescribed for them.

Assessments of people’s needs were not always comprehensive, and people’s care plans had not always considered the full range of their diverse needs, including psychological and emotional well-being. Different parts of people’s care and treatment were not efficiently coordinated to ensure consistently positive outcomes for them.

Processes for monitoring the effectiveness of people’s care, treatment and support were not always effective in ensuring actions were taken to continuously improve the service.

Consent to care and treatment and subsequent best interest’s decisions had not always been obtained in line with legislation and guidance. People were not always involved in consent decisions as much as possible, nor given the appropriate information, support and time needed to make an informed decision.

People’s care plans were focused on people’s medical needs and lacked person centred details. Care plans lacked information about individual’s personal life history, wishes and preferences, passions and hobbies, cultural background and spiritual beliefs.

At this inspection we found the evidence to support the rating of requires improvement. We found 2 breaches of the legal regulations in relation to safe care and treatment and governance.