Last updated: 10 February 2026
"Reliable staffing levels and a positive culture where staff feel supported, but auditing missed gaps in risk assessments and mental capacity checks."
Safeguarding training in place with staff confident to report; incidents reported, audited and learning shared, but some risk assessments for medicines, diabetes and wounds missing and addressed immediately.
Registered manager promoted positive culture with engaged staffing team; staff told us they felt supported and comfortable approaching managers for advice.
Registered manager regularly over staffed; saw enough staff on duty to support people and staff rotas confirmed this was always the case.
Per 2022 report: staff training up to date for safeguarding, dementia, medicines and end of life care with competency checks; per 2021 report: standard induction and three-monthly supervisions in place.
Registered manager promoted positive culture and was visible and approachable, but auditing processes had not identified missing risk assessments or non-decision-specific mental capacity assessments.
Full time activities co-ordinator provided group and one-to-one activities; faith leaders visited and communication aids like flash cards used.
Manager is friendly and hands-on but oversight is spotty, missing gaps in risk paperwork and mental capacity assessments.
The provider's auditing processes had not identified this. We identified risks relating to management of medicines, diabetes and wound management... not all mental capacity assessments were decision specific.
Only standard training covering basics like safeguarding and end of life care, no specialist courses or qualifications funded.
Staff had completed safeguarding training... training records confirmed staff training was up to date... Staff had completed training in end of life care.
AI Generated
Last inspected: January 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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