The Devonshire Also known as 1- 3883899011

Updated 30 January 2026

Date of assessment: 24 February to 26 March 2026.

The Devonshire is a nursing home providing personal care and support to 137 people. At the time of assessment there were 132 people living at the service.

The inspection was carried out in response to concerns we received about the safe care and treatment of people using the service. A decision was made for us to inspect and examine those risks. We carried out a comprehensive inspection in August 2024, and the service was rated good. At this inspection, we found the provider was in breach of the legal regulations relating to safe care and treatment and good governance. As a result, the rating has changed to requires improvement.

The provider did not have consistently effective fire safety measures in place to ensure people were protected from the risks associated with fire. For example, some fire doors were damaged, and some had excessive gaps meaning they would not be effective in the event of a fire. This placed people at increased risk of avoidable harm in the event of a fire.

While accidents and incidents were documented, not all sections of the forms were completed. The provider failed to ensure follow up actions were consistently taken, and learning was not effectively embedded across the service.

People were not routinely protected from the risk of potential harm; risks were not always identified and mitigated without delay. For example, we observed broken furniture and equipment that was accessible to people.

People’s documentation was not always updated following changes to their needs and support.

The provider failed to ensure checks and audits were used consistently and effectively to identify shortfalls, errors and omissions. When areas for improvement were identified, the provider did not always act and make those improvements.

Staff received safeguarding training and understood their roles in protecting people from the risk of abuse and avoidable harm. The provider raised safeguarding alerts and reported concerns about people’s needs effectively. Staff worked with relevant agencies to investigate and act to keep people safe.

People were supported with their prescribed medicines and referred to external healthcare professionals without delay.

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

Updated 30 January 2026

Most people and relatives we spoke with, did not know who the registered manager was. Relatives told us they had been discouraged from speaking with the registered manager and were asked to request a formal meeting to speak with them. However, relatives told us they could speak to other senior staff members openly and spoke positively about their communication.

Activities were planned and available, however these were not always person centred. People who received care in bed did not have the same access to social stimulation as those who were more physically able. Activities offered were not aligned with people’s interests and hobbies. One relative told us, “I would hope there could be more activities for residents with dementia.”

Some people could not directly tell us about their experience, where this was the case, we observed interactions between people and staff. We observed staff did not always respect people and their privacy.

Most people and their relatives felt there were enough staff, however some people felt their needs were not always responded to in a timely manner.

People and their relatives told us they felt safe and well cared for. One relative told us, “I have no worries, I know [they] will not come to any harm, and I have no concerns with how [they] are cared for.”

People were supported by staff who knew them well. Where people preferred to speak in their native language, this was facilitated and respected by staff.

Relatives told us they were regularly updated with any changes, and they were informed of accidents and incidents. One relative told us, “The carers are all good and they update me regularly about how [person] is doing.”