Last updated: 10 February 2026
"Staff feel well supported with regular supervision and enough staff on duty, but poor management oversight and unmanaged safety risks hold it back."
Risks to people's health and welfare were not always identified or managed effectively. We found that one person was at risk because staff were unaware of safeguards that had been put in place to safeguard them from the risk of falls.
Staff told us that they were well supported, and records showed they benefited from regular supervision meetings with their manager.
There were enough suitably, skilled, and experienced staff on duty to meet people's needs. However, staff were not always deployed effectively to provide safe support. On the first day of our inspection we found that only one member of staff was on duty alone on the second floor attending to the needs of 13 vulnerable people.
Staff needed further training on the Mental Capacity Act to ensure people received the right type of support to assist them in their decision-making. Two staff lacked basic knowledge safeguarding processes and refresher training was required on record keeping, and MCA.
The service was not well-managed at the time of this inspection. The provider's quality assurances systems had either not identified the improvements needed at this care home or sufficient action had not been taken in a prompt manner to address the improvements which were needed.
The service employed a part time activities coordinator and was in the process of recruiting another. We observed people engaging in activities on each day of our inspection some led by care staff and others led by the part time activities coordinator.
Leaders missed big risks and quality problems because oversight and checks were not working well.
The provider's quality assurances systems had either not identified the improvements needed at this care home or sufficient action had not been taken in a prompt manner to address the improvements which were needed.
Safeguarding is not reliable with staff unclear on procedures and risks like falls not always managed.
Systems to safeguard vulnerable people from abuse where not always followed and two care staff spoken with were unclear on the provider's safeguarding procedures.
Basic training gaps in safeguarding and mental capacity leave staff short on key skills.
Two staff lacked basic knowledge safeguarding processes and refresher training was required on record keeping, and MCA.
AI Generated
Last inspected: August 2023
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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