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Somerset House Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 26 March 2019

About the service: Somerset House Nursing Home is a residential care home registered to provide accommodation and personal care for up to 44 older people, including those who are living with dementia. At the time of the inspection there were 32 people using the service.

People’s experience of using this service: Work was still required to improve the staff and provider's knowledge and practice in key areas such as risk management, care planning and records. All staff needed to understand people’s needs and be skilled to meet them. Systems to check that people were receiving safe and good quality care required further development.

The provider had worked hard since the last inspection to make changes that impacted positively on people's experience of using the service. Most people and their relatives were happy with the care provided and said that things had improved. A relative told is, “The change has been unbelievable, I feel happy going home now, knowing that people are being well cared for.”

Activities were available for people and further improvements were planned to increase these and provide further access to the local community. People were treated with respect and dignity and their independence encouraged and supported. Where people required support at the end of their life, their wishes and beliefs had been sought. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff received training and assessment of their competency to ensure they had the appropriate skills to meet peoples’ individual needs. A programme of ongoing recruitment was in place to reduce the reliance on agency staff.

The manager and management team were well respected. Most people, their relatives and staff felt confident raising concerns and ideas. All feedback was being used to continuously improve the service.

The manager and provider had developed their ongoing action plan to address the concerns we identified as part of the inspection.

This service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Rating at last inspection: Inadequate (report published January 2019).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Enforcement: The provider was in breach of one regulation at this inspection relating to governance of the service. You can see the action we have told the provider to take at the end of the full report.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. The provider will continue providing regular updates to their action plan. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 26 March 2019

The service was not always safe.

Details are in our Safe findings below.


Requires improvement

Updated 26 March 2019

The service was not always effective.

Details are in our Effective findings below.


Requires improvement

Updated 26 March 2019

The service was not always caring.

Details are in our Caring findings below.


Requires improvement

Updated 26 March 2019

The service was not always responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 26 March 2019

The service was not always well-led.

Details are in our Well-Led findings below.