Last updated: 10 February 2026
"Staff receive relevant training and feel supported by the manager, but unclean areas, safety risks and limited activities need improvement."
Potential risks to people's safety were not always mitigated... Areas of the service were visibly unclean... Decisions about people's food or fluid intake were not always managed in line with the MCA.
Staff spoke positively about the registered manager. Comments included, '[Registered Manager's name] has been great: on the floor and also been very supportive with my personal issues'
Rotas we reviewed showed there were sufficient numbers of staff to keep people safe; ... The provider was using agency staff at the time of our inspection.
Staff received training relevant to their roles. For example, safeguarding and fire safety training. Comments from staff included, 'I've had safeguarding and MCA training. I'm up together on all my training'
Checks and audits had not always been used effectively to identify the shortfalls we found during our inspection. For example, shortfalls in relation to MCA practice had not been identified.
Overwhelmingly, records we reviewed showed people were supported to access a limited range of activities. For example, hand massage, watching television, shopping or a meal out.
Unclean rooms and bathrooms plus wrong decisions on meals or video monitors raise safety risks for residents and staff.
Areas of the service were visibly unclean, including flooring in people's en-suite bathrooms... records showed some people had been given a particular meal, 'In their best interests.' There was no supporting information... one video monitor was set-up in the communal kitchen, displaying a live stream of the person in their private accommodation.
Only basic activities like TV, shopping or occasional outings because not enough staff can drive, so workdays lack variety.
'100% activities provision could be developed. Sometimes we don't have enough drivers to take people out'... The registered manager confirmed activities provision was an area for development.
Leadership checks missing ongoing problems like unclean areas and mental capacity errors, so issues drag on without fixes.
Checks and audits had not always been used effectively to identify the shortfalls... In 2021, the registered manager identified flooring in all en-suites needed replacing... this had not been completed.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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