Last updated: 10 February 2026
"Enough trained staff and a supportive family culture, but managers' quality checks missed gaps in risk plans and an unreported serious incident."
Risks associated with people's care had been assessed. However, some risk management plans lacked detail... Reviews of the care plans and risk management plans had been recorded. However, some reviews lacked detail... no documentary evidence to demonstrate that incidents had been robustly analysed... one incident which resulted in injury to a person had not been reported
There was a positive and open culture in the home... Staff told us they felt well supported by the registered manager. One staff member told us, 'It's a family atmosphere; [registered manager] is very supportive.'
There were enough appropriately trained staff employed to meet people's needs. People told us there was always staff available to support them when they needed anything.
Per 2020 comprehensive inspection: Staff who were new to the home undertook a programme of induction based on the Care Certificate... staff received on-going training which was relevant to their work... opportunities to review their work... through regular supervision and appraisal sessions.
Quality monitoring systems were in place; however they had failed to identify some of the shortfalls found at inspection. In addition, analysis and follow up of specific incidents had not been robustly documented.
Per 2020 comprehensive inspection: Activities people enjoyed were also available within the home. For example, there were regular exercise and craft sessions... people taking part in local church activities... community choir... gardening and wildlife group.
The managers quality checks missed gaps in risk plans and a serious accident wasnt reported on time.
audits had not always identified shortfalls in documentation... one incident which resulted in injury to a person had not been reported and quality assurance checks had failed to identify the oversight.
Some risk plans lack enough detail to guide staff clearly and accident follow-ups arent always written down.
some risk management plans lacked detail... on two occasions following falls we were told the learning lessons process had been carried out verbally and there was no documentation to confirm this... no documentary evidence to show what lessons had been learned or that they had been embedded into practice.
No activities coordinator or special programmes so days are mostly routine care with basic crafts and outings.
Per 2020 comprehensive inspection: regular exercise and craft sessions planned... local church activities... community choir... gardening and wildlife group.
AI Generated
Last inspected: July 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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