- Care home
78 Hoylake Crescent
Assessment report published 27 November 2025
Contents
Ratings
Our view of the service
Date of the assessment: 21 October 2025. The assessment included an unannounced visit to the service.
78 Hoylake Crescent is a care home without nursing for up to 4 adults with mental health needs.
The provider’s registration allows them to care for people who have a learning disability. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found the provider was not meeting the principles of Right support, right care, right culture.
The last rating for this service was good (published 10 October 2024). This assessment was conducted to follow up concerns we had received relating to the environment, fire safety and the quality of care. We found evidence of these and other concerns. Following this assessment, we have rated the service requires improvement.
We identified breaches of legal regulations relating to person-centred care, safe care and treatment, premises and equipment, good governance and staffing. We have asked the provider to tell us what they are doing to make the required improvements.
The provider did not manage medicines in a safe way. Parts of the environment were not safe or clean. The provider’s systems for managing fire safety were not sufficient to protect people. Risks to people’s safety and wellbeing were not always assessed or planned for. These failings put people at an increased risk of harm and inappropriate care.
The provider did not always ensure safe or effective staffing. They allowed staff to work excessively long shifts without sufficient breaks. This practice placed staff and the people who they were supporting at risk.
People did not always receive person-centred care and support and were not always treated with respect. They were not supported to develop independent skills or to make choices.
The provider’s systems for monitoring and improving the quality of the service were not always effectively operated. Audits and checks did not sufficiently identify problems or risks. Records were not always well maintained or accurate.
However, we found people’s personal care and healthcare needs were met. Managers assessed people’s needs. Staff worked with other healthcare professionals to monitor and meet people’s needs.
Staff felt supported and enjoyed working at the service.
People's experience of this service
People did not always have a good experience of living at the service. Two people told us they had asked to move because they did not feel safe and they were unhappy. However, a third person told us they liked living at the service.
People told us they were not always offered choices. People did not take part in meaningful activities to help with their mental health or learning new skills.
However, people liked the staff and told us they had good relationships with them.