- Care home
Archived: Gloucester House
We served a notice of decision to vary the conditions of registration as a service provider for Greensleeves Homes Trust on 18 August 2025 for failure to comply with regulations at Gloucester House.
Assessment report published 20 August 2025
Contents
Ratings
Our view of the service
Date of assessment: 13 May to 5 June 2025. The service is a residential home providing nursing and personal care for older people and people living with dementia. The service can support 54 people across four different units. There were 31 people living in the service at the time of inspection.
At our last assessment completed in September 2024, the service was rated as requires improvement with 3 breaches of the regulations. We served 3 warning notices on the provider and the registered manager in November 2024, we gave them a date when they were required to be compliant with the regulations. This inspection was completed to check the required improvements had been made. We found the service had not met the warning notices and remained in breach of 3 regulations relating to safe care and treatment, consent and governance of the service.
Potential risks to people’s health and welfare had not been consistently assessed and there was not always guidance for staff to follow. Staff did not always feel confident to raise concerns with the management team. Staff told us they were not confident their concerns would be acted on. The provider was not following the Mental Capacity Act when assessing people’s capacity and ability to make decisions. The systems to monitor the quality of the service were not effective. When shortfalls had been identified, action had not been taken to make improvements and the shortfalls continued.
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 is being placed into 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 time frame within which providers must improve the quality of the care they provide.
People's experience of this service
People and relatives stated they were happy with the service. People told us, they felt safe with staff. People enjoyed activities including visits from groups of children, who came to the service regularly. However,people’s rights had not always been considered or assessed and risks to their health had not been fully explored, assessed or mitigated against placing them at serious risk of harm.