Updated 7 October 2025
Date of assessment: 21 October to 4 November 2025. The service is a nursing home providing support to adults, a learning disability and/or mental health condition. The service is registered to support up to 16 people. At the time of our inspection, 13 people were living at the service.
We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
This assessment was carried out in response to information of concern received.
The provider was in breach of the legal regulation relating to premises and equipment at the service.
People were not cared for in a clean, and well-maintained environment. During our inspection we found areas within the building to be visibly unclean. There were malodours present throughout the building. We identified some health and safety concerns, including fire safety and trip hazards which had not been addressed. Mould was present within the laundry area, which whilst not accessible to people using the service, increased the risk of infection and building safety. Systems to monitor cleanliness and environmental safety were not effective.
Governance systems were not wholly effective at driving improvements. Accidents and incidents were not analysed to identify learning and improve safety. Policies were in place but not always followed. There was a lack of clarity of roles and responsibilities within the leadership team in the absence of a registered manager.
Whilst some improvements were required to ensure out of date information was removed from care plans, overall people’s risks were identified and assessed. Staff supported people safely and in line with their assessed needs. The provider worked with the local authority to investigate safeguarding concerns appropriately. Staffing levels were assessed in line with the needs of people living at the service. The provider adhered to the principles of the Mental Capacity Act (2005). People’s protected characteristics were care planned and understood by staff. People were supported to access a range of health and social care professionals as required, including advocacy services.