Note1 Oct 2025
Staff received updated training in record keeping, pressure wound management, care planning, nutrition and safeguarding.
Note1 Oct 2025
MCA compliance improved with local authority support; appropriate DoLS authorisations in place.
Note1 Oct 2025
Infection prevention control audits introduced monthly; environment free from offensive odours.
Note1 Oct 2025
Acting manager demonstrated duty of candour, openness and transparency when things went wrong.
Note1 Oct 2025
Fire safety overhauled following fire service inspection; detailed PEEPs now in place for all residents.
Note1 Oct 2025
Safeguarding processes improved; provider no longer in breach of regulation 13; staff more confident to raise concerns.
Note1 Oct 2025
Sufficient staffing levels restored following previous breach; people and staff reported improvement in staffing numbers and person-centred time.
criticalrecord_keeping1 Oct 2025
We noted gaps of up to 7 hours where repositioning should have taken place every 3 hours. This continued to place people at risk of skin breakdown.
moderateperson_centred_care1 Oct 2025
Care plans did not record people's preferences as to the gender of staff allocated to support them with personal care. One person told us, 'I don't like male staff washing me but it still happens some…
criticalinfection_control1 Oct 2025
We found two suction machines which had not been cleaned after use. There was no system of cleaning and maintenance checks in place.
criticalleadership1 Oct 2025
Three clinical leads had been appointed within the last 8 months and all had now left.
criticalgovernance1 Oct 2025
The lack of consistent leadership structure and clinical oversight demonstrated a continued breach of 17 (good governance) of the Health and Social Care Act 2008.
moderatemedication_management1 Oct 2025
Time specific medicines such as those for people diagnosed with Parkinson's were being administered...up to 45 minutes earlier than the scheduled time on administration(MAR) records.
criticalrecord_keeping1 Oct 2025
Care plans for people at risk of choking where suction machines were in use did not provide guidance for staff as to how and when to use this equipment.
criticalcare_planning1 Oct 2025
We found conflicting information in care plans located in the nurses office and those available to care staff located in people's rooms.
Note1 Mar 2025
Positive feedback received about levels of support and quality of meals.
Note1 Mar 2025
The provider was assured to be preventing visitors from catching and spreading infections, using PPE effectively, and accessing testing for people and staff.
Note1 Mar 2025
The service was working within the principles of the MCA and appropriate legal authorisations were in place to deprive a person of their liberty where needed.
Note1 Mar 2025
People benefited from a stable staff team and there was a clear process in place to check staff suitability before they started work.
Note1 Mar 2025
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.
criticalstaff_training1 Mar 2025
Staff on duty on the night of our inspection had not been trained to know what procedures were in place to respond in the event of a fire.
moderateinfection_control1 Mar 2025
We found equipment such as bedrail covers which were soiled, hoists which were in need of cleaning and a suction machine which was dirty stored on the floor.