CQC Location ID:1-19058118851
Date of Assessment: 8 to 22 May 2025. The service is a residential care home providing residential and nursing care to adults of all ages including people living with dementia. The service can accommodate up to 60 people. At the time of this assessment there were 56 people using this service. This was the first assessment for this service since it registered on 3 June 2024. The assessment was undertaken in response to some concerns we had received about a person’s care. Risks people faced had been identified but action to enhance safety was not always consistent and effectively monitored. This did not ensure safety in relation to areas such as skin integrity and bowel management. Whilst leaders had a comprehensive quality assurance system, these shortfalls had not been identified. We received variable feedback about the safe handling of medicines and not all storage was in line with best practice. Leaders used a dependency tool to assess the number of staff needed, but feedback indicated staff shortages at times. The environment was clean, spacious and well maintained. Systems prevented and minimised the risk of infection. Staff asked consent before any care intervention was undertaken although records did not always demonstrate effective decision making. People were encouraged to live healthy lives and their rights to independence and choice were promoted. People were treated with kindness and compassion and their needs were regularly assessed. However, care planning did not always demonstrate people’s preferences or the support they needed. People were encouraged to give their views about the service and there was a strong focus on learning and development. The service was in breach of 2 legal regulations in relation to people’s safe care and treatment including risk management, and good governance relating to auditing and oversight of these shortfalls. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
People told us they felt safe and enjoyed living at the home. They were able to participate within one-to-one or group activities and have visitors when they wished. People were encouraged to go out and trips within the local community were regularly arranged. People were very complimentary about the staff and established relationships had been built. People were generally positive about the food and choices available. People were offered an alternative if they did not like what was on the menu. However, the lunch time experiences for people living with dementia on the first floor, were not conducive to their needs. People were not served in a timely manner which caused frustration. On the second day of our assessment, the dining room was noisy and chaotic, which did not ensure a calming environment.