Last updated: 9 February 2026
"Staff feel valued with good training and engaging activities, but poor recruitment checks, weak oversight of records and unmanaged safety risks need fixing."
Incidents and accidents were not reviewed for trends; environmental risks like candles used without risk assessment; no oversight of DoLS applications or body-maps for creams.
Staff told us they felt valued by the management team, were confident to speak up if they had concerns, and fed back passionately about the care being delivered.
The provider did not follow their own policy for staff recruitment; staff did not fully complete application forms to explore gaps in employment and apply for professional references.
Staff received training in safeguarding, knew what to do if they suspected abuse; staff confirmed they had completed training and wore appropriate PPE for infection control.
The provider remained in breach of regulation 17 in relation to good governance with concerns regarding oversight and monitoring of people’s care records, DoLS, staff recruitment records and environmental risks.
Staff supported people to go out to shops, coffee shops regularly, walks and exercise; collaboration with holistic massage therapist for a person with dementia.
Recruitment skips checks on job gaps and misses references, so you cannot be sure new staff are suitable.
Staff did not fully complete application forms to enable the provider to explore gaps in employment and consistently apply for professional references.
The manager does not audit or oversee key records like daily care notes, mental capacity authorisations, and environment risks properly.
Concerns regarding oversight and monitoring of people’s care records including daily notes and Deprivation of Liberty Safeguards (DoLS), staff recruitment records and the oversight and management of environmental risks.
No review of accidents to spot patterns or prevent repeats, and home risks like candles not assessed.
Incidents and accidents were not reviewed for any trends to prevent similar incidents occurring; no risk assessment for the use of candles in the home.
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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