Last updated: 9 February 2026
"A wide range of activities and outings with staff wellbeing promoted, but short staffing and weak management caused long waits and safety gaps."
Risks relating to people’s medical needs were not always contained within care plans... observations of staff serving food... not following best practices... eMAR system was not fully utilised.
The service cared about and promoted the wellbeing of their staff and staff told us they enjoyed working for the provider... feedback from staff was mixed... ‘it can be quite toxic.’
Audits showed people waiting long times for a response to their call bells... ‘they are short of staff.’... ‘If they didn’t have the three of us regularly at lunchtime they would be pushed.’
Staff had received appropriate training to support them to carry out their roles. However, it was evident that some of this training had not been fully embedded and management checks were not effective.
Governance systems used by managers had failed to identify the concerns found during this inspection... feedback from staff about the management of the service was mixed.
People had access to a wide range of activities within the service and outings... recently increased the activity staff provision... tailoring their approach to provide activities that people wanted.
Not enough staff sometimes, leading to long waits for buzzers and relatives helping with meals.
Audits showed people waiting long times for a response to their call bells... ‘they are short of staff.’... ‘If they didn’t have the three of us regularly at lunchtime they would be pushed.’
Gaps in risk records, medication tracking, and hygiene during meals.
Risks relating to people’s medical needs were not always contained within care plans... eMAR system was not fully utilised... staff were not following best practices.
Management checks missed care plan issues and other problems.
Governance and audit systems had not identified the issues found during the inspection... daily walk around... had not identified the observations made.
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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