Last updated: 10 February 2026
"Staff training covers key needs like learning disabilities and dementia, but high turnover, poor risk management, and limited activities leave staff stretched and under pressure."
The provider had continued to fail to have effective systems in place to identify, monitor and manage risk... When risks had been assessed, these were not linked to people’s care plan to guide staff on the actions they needed to take to keep people safe.
There was a mixed response from staff about the culture of the service. Staff told us there were no formal systems for staff to be shown appreciation for their roles... Comments included, “We are not well appreciated. There is no empathy for staff and we are working under pressure."
Staff told us they were under pressure due to the high turnover of staff. Staff told us it took time to support new staff to learn their roles and get to know the people they supported.
Staff training was not comprehensive as although it included training specifically for people with a learning disability, and the specific needs of older people living with dementia, it did not include catheter care.
There was a mixed response from staff about the culture of the service... Other staff felt disempowered as ways of working kept changing, staff kept changing and they felt under pressure if they did not complete all their assigned tasks.
People and relatives gave mixed views about if people were actively engaged in things that they enjoyed. They said there were external people who come to do exercises and also singers, but these activities were only occasional... A relative said, “Without us, their family, taking them out, they wouldn’t really have much to do.”
High staff turnover leaves you rushed, training new people constantly, and stretched on shifts.
People and relatives told us there was a high turnover of staff which impacted the quality of care people received. Staff told us they were under pressure due to the high turnover of staff.
Risk guides and care plans often miss details on how to safely support people with eating, moving, or medical needs.
There remained shortfalls in risks and guidance around people’s medical conditions, eating and moving and handling. When risks had been assessed, these were not linked to people’s care plan to guide staff on the actions they needed to take to keep people safe.
No activities coordinator means the job is mostly routine personal care with little variety or engagement.
The provider told us they had plans to employ an activity coordinator, but there was no one in this role at the time of our assessment... A relative said, “Without us, their family, taking them out, they wouldn’t really have much to do.”
AI Generated
Last inspected: April 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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