The CQC ultimately placed the home into special measures. The report highlighted serious failings in care, including inaccurate risk assessments, unsafe management, and a lack of learning from incidents or accidents. One resident told inspectors: "Staff are mainly familiar faces; they are gentle with me when they help. Other relatives were positive about the personal care provided. "They keep on top of [my relative’s] personal care and [they are] always clean and tidy when I visit."