Last updated: 10 February 2026
"Good training and a positive culture where staff feel supported, but inconsistent management oversight and risk assessments are concerns."
Risks to people were not consistently assessed and staff did not always have all the guidance they needed about how to manage risks.
The culture of the service was positive and open, staff described being well supported in their roles.
Staff we spoke with confirmed that staffing levels were safe but sometimes minimum staffing levels meant people's quality of life was affected.
People were supported by staff who had received relevant and good quality training in evidence-based practice. This included training in use of communication tools, positive behaviour support, human rights and restrictive interventions.
The provider's systems for monitoring quality and risks were not consistent in identifying shortfalls. There were missed opportunities for learning and improving care.
Per 2021 comprehensive inspection: 'World Wednesdays' night in which we pick a country out of a hat, listen to music from that country, cook traditional cuisine and decorate the dining room with flags; 2022: regular bowling weekly, bike rides, cooking observed.
Management checks on quality and risks miss some issues like patterns in accidents.
Systems for the monitoring and oversight of incidents were not robust. The registered manager had oversight of each incident individually but did not have a system in place for identifying patterns and trends.
Some risks to residents like choking or health changes lack full assessments and clear staff guidance.
One person's care plan referred to them having a risk of choking. However there was no risk assessment... Some people had risks associated with their physical and mental health. Risk assessments and care plans were not in place.
Staffing meets safe minimums but limits spontaneous outings needing two staff or a driver.
Staff we spoke with confirmed that staffing levels were safe but sometimes minimum staffing levels meant people's quality of life was affected... 'Sometimes it's difficult for people to just go out'... 'not always a driver on duty'
AI Generated
Last inspected: January 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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