Henley House

“The assessment took place 13th to 27th January 2025 with site visits on 13th and 16th January 2025. The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of falls. This inspection examined those risks. The service is a care home providing care for up to 23 people. At the time of the inspection, there were 23 people using the service. We found medication was not always safely managed, people did not give consent to their care and those people who were unable to make their own decisions did not have documentation in place for staff to make decisions on their behalf. We found whilst audits and checks were being completed, these did not identify and resolve the issues we found on inspection. Following the inspection, we received assurances from the provider improvements had been made. We found care provided was high-quality, person-centred and staff knew people well. People were involved in assessments of their needs. Care plans and risk assessments were regularly reviewed to ensure they were up to date. Leaders and staff had a shared vision based on learning and continual improvement. Leaders were visible in the service and there were enough staff to provide safe care. People who had protected characteristics felt supported and they told us there was no form of discrimination.”