Breach House

Updated 4 June 2026

Date of assessment: 20 and 21 July 2026.

Breach House is a residential care home supporting older people, some of which may be living with dementia. The service is registered to support up to 34 people and at the time of our inspection 11 people were living at the service.

The inspection was to follow up on the breaches identified at our last inspection which was undertaken in Autumn 2025. At the last inspection the service was rated inadequate and was in breach of regulations relating to safe care and treatment, environmental safety, incident management, staffing levels, training, supervision, and compliance with the Mental Capacity Act 2025 (MCA).

At this inspection although we saw improvement the service has remained in breach of Regulation 17 relating to good governance. The provider must embed these changes, maintain them, and strengthen leadership oversight.

Improvements were made to the environment. Safety incidents were investigated, recorded, and used to improve practice. Risks to people’s health and safety were assessed. Overall, care records contained relevant information and guidance for staff. Where people were deprived of their liberty, most decisions were made appropriately with capacity assessments and best interest processes. However, we found these had not been completed for some specific decisions.

People received care and support from kind and caring staff who had sufficient training to carry out their roles effectively. People received their medicines as prescribed and got effective care and attention to manage their physical health conditions. Safe recruitment processes were followed, and enough staff were available to meet people’s needs.

This service has been in Special Measures since 6 January 2026. The provider demonstrated improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Updated 4 June 2026

As part of our inspection, an expert by experience joined our inspection team onsite and helped us gather some of the evidence which we used to make judgements about the quality of care. An expert by experience is a person who has personal experience of using, or caring for someone who uses, this type of care service. They spoke with 8 people using the service, 1 relative and 2 friends of a person using the service about the experience of the care provided.

People told us they were happy with their care and described staff as being friendly and caring. One person said, “I’m as happy as I possibly could be.” Another person told us, “I’m happy here. I’m safe here. The staff are not unkind or horrible. I like the staff.”A relative told said, “The staff are very good. [Person’s name] is happy. [Person] has not asked to go home; not even once.”

People were supported in a clean and homely environment. They received support from kind and caring staff. People received their medicines as prescribed. Choices of food were provided at mealtimes, and overall people were positive about the food on offer. People’s choices were respected, and they had good relationships with staff. There were opportunities to take part in activities. People’s views were sought and they told us they knew who they could speak with if they had any concerns. One person said, “If I was worried about anything I would tell anyone here.” Visitors to the service were made to feel welcome. During our visit, we observed people appearing relaxed, comfortable and doing things which were important and mattered to them. This included spending time with their friends and relatives.