Last updated: 10 February 2026
"Staff feel proud and supported with enough people on shifts to meet needs safely, but managers missed errors in falls risks and medication records."
People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so.
Staff told us they were proud to work at the home and they will always try to do their job to the best of their ability. They felt supported and valued by the registered manager and director and said their views and thoughts were listened to and appreciated.
There were enough staff on each shift to ensure peoples basic care needs were consistently met and people were supported in line with their care plans. The registered manager used a dependency tool to assist them with assessing individual staffing levels.
Staff had completed mandatory training prior to working independently and had support of colleagues and members of the management team.
Governance processes had failed to identify a person falls risk assessment had not been updated to reflect changes in their mobility. Medicine audits had failed to identify recording discrepancies in two peoples medicine administration records (MAR)
Per 2018 comprehensive inspection: the activities coordinator told us that it was important to offer people a wide range of opportunities... we saw a number of people enjoying singing along to their favourite tunes... artwork... external entertainers... plans... to support people to visit places of interest in the local community.
Managers miss key record errors like outdated falls risks and gaps in medication charts that audits did not spot.
Governance processes had failed to identify a person falls risk assessment had not been updated to reflect changes in their mobility. Medicine audits had failed to identify recording discrepancies in two peoples medicine administration records (MAR)
Only basic required training with no specialist courses or funded qualifications mentioned.
Staff had completed mandatory training prior to working independently and had support of colleagues and members of the management team.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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