Last updated: 10 February 2026
"Staff feel supported by approachable managers with good activities programmes, but serious training gaps and weak safety management are major concerns."
People’s safety was not robustly managed. There was a lack of evidence of lessons learned when people experienced recurrent falls, choking or an incident that affected their well-being.
Staff told us they felt supported in their role. All staff we spoke with found the management team to be approachable, listened to what they had to say, and acted where improvements or suggestions were made.
There were sufficient staff deployed to meet peoples’ health needs, owing to recent events agency staff were being used to fill gaps when permanent staff were unable to.
The training matrix identified that not all staff had completed the training necessary to meet peoples’ needs at Filsham Lodge Nursing Home. For example, emergency first aid, managing distressed behaviour, oral hygiene, and the mental capacity act.
The provider was previously in breach of the legal regulation in relation to governance. Improvements were not found at this assessment, and the provider remained in breach of this regulation.
There were three activity people employed, that covered 7 days a week. It was noticeable on the first day of the site visit that there was only one activity person on, due to holidays.
Training has big gaps in key areas like first aid, managing distress, oral care, and mental capacity, leaving staff underprepared.
The training matrix identified that not all staff had completed the training necessary to meet peoples’ needs at Filsham Lodge Nursing Home. For example, emergency first aid, managing distressed behaviour, oral hygiene, and the mental capacity act.
Safety management is weak with unclean areas, poor infection control, incomplete risk assessments for falls and choking, and ongoing regulatory breaches.
The provider remained in breach of these regulations. This includes medicine management, infection control and the management of risk regarding the maintenance of the building.
Leaders have not fixed serious ongoing issues from past inspections like poor governance, safety shortfalls, and maintenance problems.
The provider was previously in breach of the legal regulation in relation to safe care and treatment, and good governance. At this inspection we found insufficient improvements had been made and the provider remained in breach of these regulations.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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