Last updated: 9 February 2026
"Engaging activities programmes and positive culture, but weak training on special diets, safety lapses and poor management oversight hold it back."
Some aspects of people’s risks and medicines management were not being effectively managed and monitored... Infection control practices including the storage and use of personal protective equipment were not in line with government guidance.
People and relatives spoke positively about the staff... Staff told us they had opportunities to reflect on their practices and share good practices.
Relatives... concerned about the level of staff turnover and the inconsistent management; interim manager had focused on recruiting and inducting a new staff team.
Staff had not been suitably trained and assessed as being competent in managing people’s specialised dietary and fluid needs. This placed people at being exposed to the risk of choking.
Provider’s oversight had not been sufficient or effective in supporting the interim manager to address the breaches of regulations and the issues raised in the warning notices.
Per 2022 comprehensive inspection: dedicated activities co-ordinator with programme including newspaper chat, word games, armchair yoga, knitting, gardening club, community links.
Workers lack training and checks for special diets and thick drinks, risking people choking.
Staff had not been suitably trained and assessed as being competent in managing people’s specialised dietary and fluid needs. This placed people at being exposed to the risk of choking.
Infection control like PPE use and medication records have gaps, putting people and staff at risk.
The management and use of personal protective equipment (PPE) by staff was not in line with government recommendations... Clear systems to record the positioning and management of people’s transdermal skin patches... were not being completed.
No permanent manager and weak oversight mean ongoing safety and care problems aren't fixed fast.
We found the provider’s oversight had not been sufficient or effective in supporting the interim manager to address the breaches of regulations and the issues raised in the warning notices issued at our last inspection.
AI Generated
Last inspected: May 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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