Updated 31 March 2026
Date of assessment: 28 April to 12 May 2026. The service is a residential care home providing support to adults, some of whom live with dementia and/or a physical disability. The service is registered to support up to 68 people. At the time of our inspection, 28 people were living at the service.
Theproviderwas previously in breach of legal regulation in relation to safe care and treatment and good governance. Improvements were not found at this assessment, and theproviderremained in breach of these regulations.
The provider did not consistently involve people in understanding or managing risks, and this limited people’s ability to make informed decisions about their care. We identified several concerns in relation to medicines management, meaning people were not always protected from avoidable harm. Although people’s care plans were reviewed regularly, these reviews did not always identify the shortfalls we found during the inspection. Stakeholders also told us information was not always shared with them in a timely or effective manner, which impacted partnership working. The provider did not always ensure people had equitable access to the care, support and equipment they required.
Governance systems were not consistently effective in identifying risks, monitoring practice or ensuring that actions from the provider’s own improvement plans were fully implemented. This demonstrated a lack of robust oversight to ensure care was delivered safely and in line with assessed needs.
Despite these concerns, the provider was keen to drive improvements and had begun introducing new systems and processes to strengthen the quality of care. However, these changes were not yet fully embedded, and further work was required to ensure improvements were sustained and translated into consistent, safe practice across the service.
The provider had systems in place to help protect people from the risk of abuse and to identify and control potential risks within the care environment. Infection prevention measures were effectively assessed and managed. People were supported in ways that recognised their individuality and reflected a person‑centred approach.
Leaders demonstrated the skills, knowledge and credibility needed to guide the service effectively. They promoted a positive and open culture where people and staff felt confident to speak up and raise concerns, contributing to a supportive and transparent environment.