Updated 9 July 2025
Date of Assessment: 23 July to 8 August 2025. We carried out this inspection partly due to concerns about staffing, care provision, the provider’s responses to concerns, and the length of time since the last inspection.
We found 3 breaches of the legal regulations at this assessment in relation to governance, consent, risk management and medicines management. Although we found no evidence people had come to harm, there was an ongoing exposure to risk of harm.
Although most people and staff felt safe with the care they received, processes were not robust enough to identify all safeguarding concerns. When accidents, incidents or concerns took place, records did not demonstrate lessons were learned to improve care.
We received mixed feedback about staffing arrangements and staff skills. Staff received a variety of training, but we were not assured they always demonstrated they understood or retained it. Staff had regular supervision and told us they felt well supported.
People were positive about the caring nature of the staff and said they treated them with dignity and respect. Staff spoke about people with genuine warmth.
Care records were not always accurate or detailed enough, and did not provide sufficient guidance for staff to support people safely and effectively. The registered managers were considering a different system.
Although reviews of people’s care took place and actions were taken if changes were needed, the provider did not always manage concerns or complaints well.
The registered managers demonstrated a desire to provide safe and person-centered care to people. They began making improvements at the time of the inspection and told us of their plans to continue with this.
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.