The Sycamores and The Poplars

“During the assessment we found mixed standards of care and governance within the home. Where people required support to reposition, records completed by staff did not evidence this was carried out consistently or in line with people’s care plans. This meant staff could not demonstrate people were being supported safely, and placed individuals at increased risk of avoidable harm.”

“Some people were supported with modified diets, but their care plans contained differing and sometimes contradictory information about the consistency of food they required. This created a risk that people may not receive food and drink in a safe manner, particularly those with swallowing difficulties.”

“The provider’s quality monitoring processes had failed to identify the issues found during the assessment. Audits had not highlighted gaps in record keeping, inconsistencies in care plans, or the lack of meaningful activity and stimulation. As a result, these concerns had not been addressed in a timely way.”

“Despite these issues, we found staff were recruited safely, with appropriate pre‑employment checks completed. People also received their medicines in line with prescribed doses and timings, and staff followed safe administration practices.”

“The registered manager had taken an extended period of leave and had recently returned to the home. On their return, they took immediate steps to make improvements within the service and to enhance people’s experience of care. This included reviewing care plans, strengthening oversight processes, and beginning work to address the shortfalls identified during the assessment.”