Last updated: 9 February 2026
"A warm family culture where people and relatives praise the staff team, but poor night staffing and weak governance checks hold it back."
Accidents and incident audits did not fully review all accidents and incidents at the service. Incident forms completed did not always contain the details of actions taken or actions needed to prevent a re-occurrence or to mitigate risk.
People and relatives spoke positively about the management and staff team. One person told us 'We are like one big family.'
We were not assured that the staffing levels at night ensured safe effective care in line with peoples required needs... one member of staff was working on a night to support 17 people. There was no system in place to support the provider to assess/calculate staffing levels to meet people's needs.
records relating to fire safety and staff attending fire drills showed only 6 staff had attended a drill in the past year.
The providers' governance systems had not identified the shortfalls found at this inspection. There were still areas of the service that were not always appropriately monitored.
Per 2019 comprehensive inspection: People engaged in activities in the home and in the local community.
Night shifts have only one carer for 17 residents and no way to check if that's safe enough for their needs.
one member of staff was working on a night to support 17 people. There was no system in place to support the provider to assess/calculate staffing levels to meet people's needs.
Leaders' checks are weak and miss problems like poor records and staffing issues.
The providers' governance systems had not identified the shortfalls found at this inspection. There were still areas of the service that were not always appropriately monitored.
Few staff have done fire drills in the last year, showing gaps in safety training.
records relating to fire safety and staff attending fire drills showed only 6 staff had attended a drill in the past year.
AI Generated
Last inspected: December 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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