Anchor House – Doncaster

“We found breaches of legal regulations in relation to person centred care, safe care and treatment, infection prevention and control, management of medicines, and governance at the service.”

“The service was previously rated Requires Improvement at the last inspection (report published 26 September 2025). The service had not sustained or embedded improvements found at the previous inspection and the service is now rated Inadequate.”

“The provider did not always have a proactive and positive culture of safety based on openness and honesty. The provider did not always work well with people and healthcare partners to establish and maintain safe systems of care. The provider shared safeguarding concerns quickly and appropriately. We found the service was working within the principles of the Mental Capacity Act 2005 and if needed, appropriate legal authorisations were in place to deprive people of their liberty. The provider did not work well with people to understand and manage risks. Staff did not provide care to meet people’s needs which was safe, supportive and enabled people to do the things which mattered to them. The provider did not always detect and control potential risks in the care environment. They did not make sure equipment, facilities and technology supported the delivery of safe care. The external and internal environments of the care home were not maintained safely. The provider did not make sure there were enough qualified, skilled and experienced staff. They did not always make sure staff received effective support, supervision and development. They did not work together well to provide safe care which met people’s individual needs. The provider did not assess or manage the risk of infection. They did not detect and control the risk of it spreading or share concerns with appropriate agencies promptly. Cleaning and disinfection processes were not effective. The provider did not make sure the management of medicines and treatments was safe and met people’s needs, capacities and preferences.”

“The provider did not make sure people’s care and treatment was effective because they did not check and discuss people’s health, care, wellbeing and communication needs with them. The provider did not plan and deliver people’s care and treatment with them. They did not follow legislation and current evidence-based good practice and standards. The provider did not work well across teams and services to support people. Members of staff did not work together effectively. The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. The provider did not always routinely monitor people’s care and treatment to continuously improve it. People were not always involved in their care and members of staff carried out care and support as tasks without meaningful engagement.”

“The provider did not treat people with…”