Last updated: 10 February 2026
"Staff spoke positively about the manager and felt listened to in an improved culture, but gaps in risk assessments and recruitment checks need fixing."
The provider and registered manager still needed to make improvements to the assessment and mitigation of individual risks. Risk assessments had improved since the last inspection, but some risks had not been identified.
Staff said the culture had changed, they felt they were listened to and were more able to speak up if they needed to.
Agency staff continued to be used to cover gaps in the staff rota. However, the agency staff used were regular and knew people well.
Staff compliance with updating their training as required was better and more staff had completed training than at the last inspection. However, some staff had still not completed all their training.
Staff had only positive things to say about the registered manager and were happy with the changes being made.
More activities were available to support people to have a more meaningful day and staff had more time to engage with people.
Risk assessments and medication guidance have gaps like missing seizure plans and wrong pressure mattress settings so care workers must spot dangers themselves.
No care plan or risk assessment was in place to provide guidance to staff what to do in the event of a seizure, how to keep the person safe, or what the signs or triggers might be.
Recruitment checks miss big gaps in staff work histories so you cannot fully trust new team members.
Two out of 4 staff files contained large gaps in employment which had not been identified or explored.
No activities coordinator or regular varied programme so most shifts are just routine personal care with occasional basic tasks like flower arranging.
During the inspection, a number of bouquets of flowers arrived. The flowers were donated regularly by a large supermarket... People were sitting arranging them into vases.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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