Last updated: 10 February 2026
"Staff feel well supported with good training, supervision and organised activities, but weak governance and incomplete risk assessments affect safety."
The risks to people’s safety and wellbeing had not always been assessed or planned for. Whilst staff had carried out risk assessments as part of care planning, these were sometimes incomplete and were often generalised rather than specifically about the individual.
Staff told us they felt well supported. They had regular supervision and appraisals of their work with line managers. Comments from staff included, “We have regular staff meetings, and we can speak up if we have something to say”, “Managers listen to us and take action”.
There were enough staff employed. However, the provider’s systems had not ensured staff were being deployed effectively to meet people’s needs and keep them safe.
Staff undertook a range of training. They had the guidance and information they needed for their roles. Staff felt well supported.
The provider continued to be in breach of legal regulation relating to good governance. The provider’s systems and processes for monitoring quality and mitigating risk were not always effective.
The provider employed a member of staff to plan and facilitate social activities. They organised a range of events and people were given opportunities to take part in these.
Risk assessments for things like falls are too general and miss personal details like health conditions, leaving gaps in safety.
risk assessments relating to this were not comprehensive enough. For some people, the assessments considered only environmental conditions and generic guidance... These assessments did not include information about people’s individual needs, such as health conditions, or cognition.
Management oversight is weak with ongoing problems in monitoring quality and risks.
The provider continued to be in breach of legal regulation relating to good governance. The provider’s systems and processes for monitoring quality and mitigating risk were not always effective.
Staff numbers are okay but poor rotas mean they're pulled off key jobs like meds rounds, causing delays.
staff responsible for administering medicines were regularly called upon by other staff to complete unrelated tasks. This meant some people had to wait a long time for medicines and there was an increased risk of error due to staff being distracted.
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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