Last updated: 9 February 2026
"Staff feel well-trained and involved with enough staff and varied activities, but weak management fails to spot safety issues like missed fire drills."
Not all staff participated in simulated fire drills. The registered manager reported a tally to the provider of significant incidents but did not review these incidents to learn lessons to minimise the risk of recurrence.
Staff reported they were involved and engaged with decisions about the service. Staff reported being able to raise concerns if needed and share ideas to improve people's quality of life.
There were enough staff to provide safe care. The registered manager used a dependency tool, which was updated monthly, to ensure there were enough staff available.
Staff felt the training was of high quality. One member of staff told us, 'There is lots of training. I feel I have the skills to care for people.'
The registered manager did not have complete, effective and robust governance systems to monitor all aspects of quality and safety systems.
The activity coordinator organised a wide variety of activities such as one to one activity or group activities. Entertainers also performed at Beanlands Nursing Home.
Managers do not always spot problems through audits or reviews, like missed fire drills and failures to notify the regulator of incidents.
Systems were not established to identify all areas for improvement. The registered manager did not fulfil their legal requirement to notify CQC of all allegations of abuse or neglect.
Staff do not always learn from accidents to stop them happening again, for example a series of falls was not analysed.
The registered manager reported a tally to the provider of significant incidents but did not review these incidents to learn lessons to minimise the risk of recurrence. For example, one person had a series of falls over a short period of time where ultimately a fall resulted in a hospital admission.
AI Generated
Last inspected: September 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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