Finch Manor Nursing Home

“The service was not providing safe or good‑quality care. People were exposed to avoidable harm because of repeated failures in how care was planned, delivered and monitored. Basic care needs were not consistently met, and staff were not always available to provide timely support. Some people were left without personal care, appropriate supervision or meaningful interaction, which affected their dignity and wellbeing.”

“Risks were not always assessed or managed effectively. Information within care records was often incomplete or contradictory, and essential equipment was not always clean, correctly set up or used safely. Medicines were not consistently administered or recorded safely, with unsafe PRN practices, poor record‑keeping and breaches of the Mental Capacity Act.”

“Following site visits, the information we received demonstrated that safeguarding concerns had not always been recognised, reported or acted upon by the provider. During the assessment, a serious safeguarding incident occurred but was not disclosed to inspectors, raising significant concerns about transparency and leadership. We raised these issues with the provider and were not assured”

“Staffing levels were unsafe, and reliance on agency staff meant people did not consistently receive care from staff who understood their needs. People experienced delays in receiving care and support, and staff were unable to provide consistent or person‑centred care.”

“Governance systems were not effective. Information received during the assessment prompted further review of leadership oversight. Leaders had not learned from previous inspections, complaints or safeguarding investigations. Many issues identified during this assessment had been raised before but not addressed, and improvements had not been sustained.”

“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.”

“As a result of these concerns, the service is being placed into special measures. The purpose of special measures is to ensure services rated as inadequate make significant improvements. This framework allows CQC to take enforcement action where necessary and sets clear expectations and timescales for the provider to improve the quality and safety of care.”