Last updated: 10 February 2026
"Stable staffing with consistent support and a positive team culture, but the manager overlooks key paperwork like missing DoLS and incorrect risk assessments."
The service had systems and processes in place to safeguard people from abuse... risk assessments were up to date... Medicines were safely stored and managed... but we found two risk assessments had been incorrectly completed... The registered manager sent us updated risk assessments following the inspection.
Staff told us the 'Staff team work well together, we communicate well. There is always management support if there is a crisis.' A staff member told us 'The registered manager is open to suggestions I have.'
There was routinely one staff member on shift with additional staff employed as needed... The service was registered with an agency for support staff but had not used the agency, so staff knew people's needs well and provided consistent support.
Staff undertook training in key areas such as medicines administration, food hygiene, fire safety and first aid. Training took place through e-learning and face to face meetings. Staff were competency checked in all key areas... on a yearly basis.
The registered manager was not able to show us they had applied to the local authority for DoLS for one person at the service since 2016, despite being given time to provide this evidence.
People told us they were involved in a range of activities... We saw photos of people on day trips out and they told us they enjoyed going on holiday... People also went to the gym and walked when possible.
Manager overlooks paperwork problems like missing mental capacity paperwork updates since 2016 and risk assessments with old resident names.
The registered manager could not show us they had applied for DoLS for one person after 2016... two risk assessments had been incorrectly completed as they contained a person's name who no longer lived there and this had been reviewed by the registered manager
Only standard training on basics like safety and medicines with yearly checks, no specialist courses or funded qualifications.
Staff undertook training in key areas such as medicines administration, food hygiene, fire safety and first aid... competency checked... on a yearly basis
No dedicated activities coordinator or specialist programmes, just general outings and trips that might not always make the job varied.
People told us they were involved in a range of activities outside of the home... day trips out... holiday... gym and walked
AI Generated
Last inspected: March 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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