Last updated: 10 February 2026
"Staff felt supported with good training, but managers' quality checks missed safety risks, care plans and medicine issues."
Risks to people's safety and wellbeing had not always been assessed, recorded and mitigated and care plans were not always up to date. People's medicines were administered safely... but protocols for 'as and when' required medicines were not always in place.
Staff were positive about how they were supported by the provider and the registered manager. A healthcare professional said, 'I feel [Registered manager's name] is very approachable.'
There was sufficient staff to keep people safe and to meet their needs in a timely manner. Agency staff were used to support safe staffing levels when needed. Relatives told us there can be a lot of agency staff at times.
Staff received an induction which included shadowing more experienced staff and completing mandatory training. We received positive feedback from staff regarding their induction and the quality of the training.
The provider's quality assurance systems needed further improvement. A wide range of audits were in place; however, they had not identified the shortfalls we found with medicines, equipment safety, consent and MCA records, DoLS and admission assessments.
A wide range of activities were available for people to participate in if they wished which promoted people's social and mental well-being.
Managers' quality checks missed problems like missing risk assessments, equipment servicing, and medicine records.
Quality assurance systems had not identified or addressed all the shortfalls found during the inspection which included servicing of lifting equipment, medicines protocols, care records, risk assessment and care planning.
Risks to people's health and safety weren't always checked, recorded, and managed properly.
Care plans and risk assessments were not always in place to support staff to mitigate risks to people's health, safety and wellbeing.
Enough staff on duty but lots of agency workers used at times.
Agency staff were used to support safe staffing levels when needed. Relatives told us there can be a lot of agency staff at times.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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