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CQC report explained · a nursing home

What the CQC found at Blythe Rose Care Home

Goodpublished 28 April 2026, 5 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, February 2024

Blythe Rose Care Home is rated Good; inspectors found safe, kind and personalised care, with some governance records needing improvement.

This was the first inspection since the home registered. Inspectors visited without announcing it on 10, 11 and 12 July 2023, and again on 18 December 2023. They spoke with people, relatives, staff and health professionals, observed care, and checked care plans, medicine records, recruitment files, training and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, good infection control and plans to manage people's risks. They found that staff understood people's needs, supported choice and treated people with kindness and respect.

Care was personalised and people were involved in decisions, activities and reviews. Families could visit, people could complain, and the home supported contact with relatives and outside health professionals. Inspectors found some concerns about care planning and governance during the July visits, but said improvements had been made by December.

What inspectors praised
  • Dementia support

    The home had bespoke dementia training and staff were observed adapting their approach to people's communication and behaviour needs.

    “The provider had employed a dementia lead who was based at the Blythe Rose.” from the report
  • Kind and respectful care

    People and relatives described staff as caring and approachable. Inspectors saw staff supporting choice, dignity and independence.

    “They are very friendly, very caring and they listen to what I have to say.” from the report
  • Personalised activities

    Activities were based on people's interests and included both group activities and quieter opportunities. The home also used technology to help one person engage more.

    “Activities were well thought out to ensure they would be appropriate for the age group and interests of people.” from the report
  • Safety and staffing

    Inspectors found suitable risk assessments, enough staff to meet people's needs, safe recruitment and competent medicines practice.

    “Staffing levels were maintained to meet people's needs in a timely way.” from the report
  • Open management

    People, relatives and staff said managers were available and listened to feedback. The home used meetings and a dementia hub to involve families.

    “The service engaged well with people, relatives, and staff to drive continuous improvement.” from the report
What inspectors were concerned about
  • Written evidence of completed actions

    needs fixing

    Inspectors saw that actions had been completed, but the records did not always show this clearly. The manager took immediate action after inspectors raised the issue.

    “however, there was a lack of documented evidence to show actions were completed.” from the report
  • Earlier care planning and governance concerns

    needs fixing

    Inspectors found some concerns during the July visits about care planning and governance. They reported that these systems had improved when they returned in December.

    “Following our visit in July we found some concerns with care planning and governance.” from the report
Questions to ask them, based on this report
  1. 01How do you now record and evidence that actions from audits have been completed?
  2. 02What specific changes were made to care planning and governance after the July inspection visits?
  3. 03How do you make sure staffing levels continue to meet people's needs as more people move into the home or needs change?
  4. 04What dementia training do staff receive, and how do you check that they use it correctly in daily care?
  5. 05How will you involve my relative and our family in care plan reviews, activities and decisions about future care?

This was an unannounced inspection covering all five key questions, including the care provided, the premises, medicines, infection control, staffing, records and management systems. This explanation was written from the published report of 24 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Blythe Rose Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2024Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Blythe Rose Care Home →

  2. May 2022

    Registered with the Care Quality Commission on 20 May 2022.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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