Last updated: 10 February 2026
"Staff feel supported in a positive culture with good activities programmes, but the manager splits time between two homes and they rely on agency workers."
Not all risks to people were assessed or completed accurately. This was a breach of Regulation 12 [Safe care and treatment].
Staff felt supported by senior staff which supported a positive culture. One member of staff said, 'I feel valued and listened to. The seniors are really good and the team leader. It's a nice home to work in.'
The service did not have enough permanent staff; they relied on agency workers to meet the staffing levels required.
The service did not always check staff members' competency to ensure they understood and applied training and best practice. Moving and handling competencies were not completed.
The registered manager did not have full oversight of the service. Whilst they had the skills, knowledge and experience to perform their role, managing two homes and covering senior shifts frequently across both meant they could not keep on top of their own duties.
Staff told us, 'We will get the bowling out, paint people's nails. We have an hour slot in the evening. Mostly every day. We put music on, play balloon tennis.'
The manager splits time between two homes so cannot fully oversee this one.
The registered manager divided her time between two homes and was covering senior shifts at both, this made it difficult to give full attention to her manager role.
Not enough permanent staff so they rely on agency workers.
The service did not have enough permanent staff; they relied on agency workers to meet the staffing levels required.
Risk assessments are not always done accurately so staff lack guidance for safe care.
Staff did not always complete risk assessments accurately. In one care plan we reviewed, choking risk assessments were completed monthly, but the answers given were not always correct, meaning the risk level generated was not right.
AI Generated
Last inspected: August 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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