Last updated: 10 February 2026
"Staff feel valued and supported with enough skilled staff and diverse activities, but weak governance and incomplete mental capacity assessments are concerns."
Medicines were managed safely. The service had a system in place for reporting, reviewing and analysing incidents and accidents. The principles of the Mental Capacity Act 2005 (MCA) were not always being followed which meant people were not always being protected.
Staff told us, “Management and our senior staff are always open ears, and we can raise anything at any point. Our residents come first, their safety, health and dignity are our highest priority.” Staff confirmed they felt valued, supported and able to come to the manager with any problems.
The service made sure there were enough qualified, skilled and experienced staff... People and relatives told us they were happy with the staff who worked at the service. Call bells were answered promptly.
Staff received training relevant to their role and had one to one supervision meetings. The manager had identified the need for additional training in relation to MCA before our inspection, and this was being sourced.
Governance systems in place were not always robust. The provider did not make all notifications to CQC as required by law. The provider did not have an effective overview of MCA assessments and best interest decisions.
A diverse range of activities were provided... These included armchair exercises, singing and cookery mornings. Some people were supported to access activities and the local community... The service offered trips out on a minibus.
Acting manager is approachable but missed sending required notifications to regulators and some mental capacity assessments are incomplete.
The provider failed to submit CQC notifications as required by law. The principles of the Mental Capacity Act 2005 (MCA) were not always being followed which meant people were not always being protected.
Only standard training in place, and extra mental capacity training is still being arranged.
The manager had identified the need for additional training in relation to MCA before our inspection, and this was being sourced.
Some gaps in mental capacity processes mean protections are not always fully in place.
Mental capacity assessments or best interest decisions were not always carried out in line with best practice. Some people did not have the necessary assessments in place.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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