Last updated: 10 February 2026
"Up-to-date staff training and engaging activities for residents, but short staffing and weak leadership hold it back."
We identified a breach of regulations relating to safe care and treatment... risks to people were not managed or monitored effectively... Medicines record keeping should be improved and kept up to date. We found staff did not always record when prescribed creams were opened.
Systems were in place to support staff, but most staff were not confident to speak up. Staff told us they were not always confident or encouraged to speak up. For instance, staff felt their concerns about staffing levels were not listened to.
Safe and effective staffing Score:1 ... We were not assured staffing levels met people’s individual needs and this also compromised people’s dignity... Staff told us, “We don't have enough staff that's it; the staffing calculator does not take account of how long it takes to support a person to eat and drink.”
Staff training was up to date and they understood their responsibility to protect people from abuse. Staff completed induction and essential training for their role which included safeguarding and health and safety... Nurses were supported to maintain their professional skill, practice and knowledge up to date.
The service had changes in managers which impacted on the consistency and effectiveness of leadership and oversight. We identified the need for the manager to have a greater level of oversight of the service... [Manager name] is lovely but they are still growing into the new role.
We spoke with... the activity staff... People had the opportunity to participate in activities and some could go on outings. People who were at risk of social isolation... had activities adapted for them... one person was helping to pot some plants... bistro area... jigsaw puzzle.
Not enough carers on shift, causing long waits for call bells and safety checks to be missed.
Staff numbers vary; at weekends they are often short... We don't have enough staff that's it... hourly safety checks were not always completed.
Leadership weak with changes in managers and poor daily oversight of care and staffing.
The service had changes in managers which impacted on the consistency and effectiveness of leadership and oversight... daily management oversight was not consistent or effective.
Safety risks from inaccurate care plans, poor medication records, and gaps in monitoring charts.
Care plans had inaccurate or missing information... gaps in repositioning charts... staff did not always record when prescribed creams were opened... monitoring records were not fully completed.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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