Last updated: 9 February 2026
"Lots of group activities and events, but staffing shortages with unskilled agency staff, no permanent manager, and safety risks hold it back."
Risks were not always managed safely. Medicines were not always managed in a safe way. Risks within the environment had not been identified or managed effectively. Infection control procedures were not robust.
Staff did not feel leaders were always capable and compassionate. Comments from staff included, “The leadership and management needs to improve. They need to ensure adequate staffing levels and offer better psychological support for residents and staff” and “They need to offer better emotional support to staff.”
Staff told us there were not always sufficient number of staff on duty to meet people’s needs safely and effectively and agency staff were not always suitably skilled. Comments from staff included, “We are short of staff on shift” and “At times there are not enough staff so we use agency staff. The agency staff that come to work my floor do not stay as they do not know what to do, how to use the equipment, sliding sheet, hoists, I have to show them.”
Training records showed that attainment levels for refresher training were far below the expected target of 95% which was stipulated by the provider’s training policy. Staff were not supported through regular supervisions and appraisals, in line with the provider’s supervision/appraisal policy.
The registered manager had recently left and the provider was in the process of recruiting a range of senior staff including a replacement for the registered manager.
Despite our observations of staffing shortages we observed a range of activities being delivered by staff and volunteers. There were lots of group activities, parties and opportunities for people to get together. During the assessment we saw people enjoying karaoke and celebration events.
No permanent manager in place and leaders do not always listen to staff or act on concerns quickly.
The registered manager had recently left and the provider was in the process of recruiting a range of senior staff including a replacement for the registered manager. Staff did not feel senior managers always listened and/or took the necessary action when issues were raised.
Not enough staff on shifts with heavy use of agency workers who lack skills for complex needs like neuro-disability.
Many people were unhappy about staffing levels, the use of agency staff and the care delivered by night-time staff... Staff also told us there were not always sufficient number of staff on duty to meet people’s needs safely and effectively and agency staff were not always suitably skilled.
Staff training refreshers well below target and not enough regular supervisions to support development.
Training records showed that attainment levels for refresher training were far below the expected target of 95% which was stipulated by the provider’s training policy. Staff were not supported through regular supervisions and appraisals, in line with the provider’s supervision/appraisal policy.
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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