Updated 13 January 2025
Date of Assessment: 13 February to 5 March 2025. The service is a care home providing nursing and personal care to 90 adults living with dementia and physical disabilities. The assessment was planned to check the provider was meeting the requirements of the warning notice served at the last assessment. The provider had failed to improve the home. We found multiple concerns relating to the safety of the internal and external environment. Infection control was not well managed. There had been an increase in infectious illnesses. Risks to people’s skin integrity and swallowing ability were not appropriately monitored. Medicines were not safely managed. Staffing levels were insufficient to meet the needs of people living at the home. People were not supported to receive a healthy and nutritious diet. There had been increases in weight loss and the provider was not acting promptly to reduce this risk. There was a failure to support people with effective oral hygiene. Staff failed to interact with people in a dignified and meaningful way. Care was not person-centred, and staff did not have the time to spend with people. Governance processes were ineffective. The provider had failed to highlight where improvements were urgently required. We found 5 breaches of the legal regulations relating to person-centred care, safe care and treatment, nutrition and hydration, good governance and staffing. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.