Last updated: 10 February 2026
"Staff feel well supported and training has improved, but risks like pressure care are not always managed safely and quality checks miss key issues."
Risks to people were not always managed safely. For example, we found staff had not assessed the risks around pressure care for one person until 6 weeks after they had been admitted.
Staff felt well supported by the registered manager. One said, '[Registered manager] is very supportive. She rolls up her sleeves and works with the staff.'
Feedback we received from people indicated they felt there were enough staff on duty. On the first day of our inspection, staffing on the upper floor did not appear to be sufficient.
Staff training had improved. Staff who administered medicines to people had received training and had their competency checked.
The provider's systems to assess, monitor and improve the service had not identified and addressed the shortfalls we found during this inspection. We found confusion among staff about their responsibilities.
Not covered in this focused inspection on safe and well-led.
Risks like pressure care take too long to assess for some people, repositioning records have gaps, and equipment like mattresses is not always safe or set right.
staff had not assessed the risks around pressure care for one person until 6 weeks after they had been admitted to the service... significant gaps in repositioning... mattresses were not fit for purpose
Quality checks and audits missed problems with care plans, equipment, and staff roles.
the provider's systems to assess, monitor and improve the service had not identified and addressed the shortfalls... confusion among staff about their responsibilities
Staff numbers are usually enough but sometimes leave gaps in overseeing communal areas.
On the first day of our inspection, staffing on the upper floor did not appear to be sufficient. There were periods of time where staff did not have oversight of the communal areas
AI Generated
Last inspected: December 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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