Updated 9 September 2025
Date of assessment: 24 September to 25 September 2025. The service is a residential care home, providing accommodation for persons who require personal care. The service can provide support for up to 28 older people, including those living with dementia, a physical disability or sensory impairment. At the time of our assessment, 25 people were living at the home.
An unannounced inspection took place to review the quality of care and compliance with legal regulations. At the last inspection, the service was in breach of the legal regulations relating to person-centred care, safe care and treatment, safeguarding, good governance and notification of incidents. At this inspection, enough improvements had been made, and the provider was no longer in breach of these legal regulations.
The registered manager ensured incidents were now recorded, investigated, and shared appropriately. More robust pre-assessment paperwork and risk assessments were carried out when people transitioned into the home. Safeguarding systems protected people from the risk of abuse, and processes to manage Deprivation of Liberty Safeguards (DoLS) had improved. Environmental and infection prevention and control (IPC) risks were now fully assessed and better managed. Recruitment processes and medicines management systems were safer.
People’s care plans were now sufficiently detailed, and a digital care planning system was used to record care interactions. People’s support was delivered in line with current good practice guidance, and risks to nutrition and hydration were well managed. Information about people was shared with staff and the relevant healthcare partners, and people were better supported with their healthcare needs and clinical outcomes. The provider had improved systems to assess and record consent, people’s capacity and best interest decision making.
Staff were kind, caring, had a good understanding of people’s needs and preferences, and actively promoted choice and control. Staff could identify when people were unwell, in pain or discomfort, and responded quickly when people needed support. Staff were supported with their own wellbeing, and morale was good.
The provider ensured people received more person-centred care, and staff had a good understanding of the needs of older people. Continuity of care was considered, and the registered manager advocated for those who needed extra funding or equipment. People’s communication needs were met, and the home was accessible. There were regular opportunities for people to feed back and share ideas, and complaints procedures were robust. The provider ensured people were consulted about their wishes for future care and treatment.
There was a positive, listening culture with staff confirming they felt well treated, and were given regular opportunities to speak up. The provider had implemented more robust checks and audits, and worked alongside local services and healthcare partners to monitor and improve the safety and quality of care. Since our last inspection, the provider had focused on making improvements at the home, to raise standards and ensure compliance with legal regulations.
However, people’s social and religious needs were not always met.