Last updated: 10 February 2026
"Staff feel well-supported with good training and engaging activities, but repeated governance failures cause ongoing medicines and risk recording problems."
Improvements were needed to the recording of information in relation to the management of people's medicines and the monitoring of specific identified risks. The provider remained in breach of regulation.
Staff spoke positively about their experience of working at Damfield Gardens and told us they felt well-supported by the registered manager. Comments included; 'All-in-all it is a happy home and a lovely place to call my work.'
Observations showed enough staff were on duty to support people safely. Staff members told us they sometimes felt under pressure, particularly during busy times of the day.
Per 2019 comprehensive inspection: Overall completion rates of training set out as mandatory by the provider was good. The registered manager had arranged additional training to develop staff skills and specialisms, including specialist dementia training.
The provider has been in breach of regulation for the last three consecutive inspections. Whilst improvements had been made in some areas, there continued to be further improvements needed.
Per 2019 comprehensive inspection: The provider had employed two full-time activities coordinators. There were now a variety of meaningful, engaging and stimulating activities on offer, including trips out and exercise classes.
Governance keeps missing record keeping problems for medications and risks, this is the third inspection running with the same issues.
this is the third consecutive inspection where issues have been identified with records associated with medicines and risk management and governance processes.
Gaps in medication records and risk checks like thickening drinks or repositioning mean safety isn't fully reliable.
Where people with risks associated with swallowing were prescribed thickening powder, staff had not always recorded that this had been added to their drinks as required. Improvements were needed to records relating to the monitoring of specific risks, such as choking and poor skin condition.
Staffing is adequate but staff feel under pressure during busy periods, so workloads can pile up.
some staff and people told us that during busy periods staffing levels were low. Staff members told us they sometimes felt under pressure, particularly during busy times of the day
AI Generated
Last inspected: July 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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