St Johns House

The following is CQC's published account of its assessment, published 10 June 2026. References to “we” mean CQC. It describes findings at that time.

Date of Assessment: 20 to 30 April 2026.

St Johns House is a residential home which supports up to 35 people. At the time of inspection, there were 33 people living there. We found the experience people received at the service was not consistent. While we found most people were very happy with their care citing the pleasant environment, kind staffing and variety of activities, this experience was not shared by everyone. We found 1 person had been subject to an alleged serious safeguarding incident and minimal action had been taken by leaders to safeguard the person, and others, from the risk of continued risk of harm. We also found the incident had not been shared with the Local Authority or notified to CQC without delay. The person involved in this incident had not received any update on what action, if any, the service was taking. One person was subject to unsafe and undignified care when being supported to eat their meal and there was a lack of assurance at the time on how this would be effectively managed to ensure people were safe from continued risk. Following these incidents being shared with the provider, subsequent assurances and actions were put in place after the inspection. However, the local systems were not robust or effectively established to ensure all areas of improvement were identified prior to our inspection visit.

We found people had not always felt heard with a lack of clarity on what actions were being taken in response to all feedback shared, especially in relation to staffing and call bell response times. We found individual experiences where some people felt isolated and unable to join in group activities due to a long term disability and they told us adjustments had not been made. Again, the provider shared assurances and actions following the inspection, but governance systems were not consistent in ensuring everyone felt heard and their feedback acted upon.

We have identified a breach of regulation in relation to governance systems being insufficient to ensure people’s safety, feedback was acted upon and quality assurance systems were established and robust to act on poor care.