Archived: ST ELIZABETH

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Inadequate

• Responsive

  Inadequate

• Well-led

  Inadequate

Our view of the service

Date of assessment: 23 – 24 March 2026. This assessment included 1 site visit; 1 operations manager and 2 inspectors were involved in the assessment site visit completed.

This assessment was completed due to concerns raised by partner agencies around safety concerns, and to check the provider had made improvements following significant concerns we had identified after our last assessment in January 2026. At our last assessment we found the provider was in breach of regulations in relation to person centred care, need for consent, safe care and treatment, safeguarding, governance, staffing, and recruitment, duty of candour and failure to notify.

At this assessment we reviewed 3 quality statements related to safeguarding, involving people to manage risks and safe and effective staffing. We identified significant concerns and the provider remained in breach of regulations related to safeguarding and safe care and treatment. As this assessment was focussed on responding to the information of concern we received, we did not review the other previous breaches of regulations from our last assessment.

We worked closely with the local authority to ensure that, where people were identified as at risk, sufficient measures were put in place to address this.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this on our website after any representations and / or appeals have been concluded.

This service remains in 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 timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

During our assessment we continued to find significant shortfalls in people’s experience of care. This included neglect of people’s personal care delivery, nail care and oral health care.

Some people living with dementia were not always able to fully discuss their care delivery, we therefore undertook observations in communal areas throughout our visit to understand the experience of care for those less able to tell us their experiences. We observed people without access to food and fluid for long periods of time. We needed to request fluids and breakfast for 2 people during our on-site visit.