Last updated: 10 February 2026
"Staff feel positive with a good team and engaging activities, but weak governance, inconsistent staffing and training gaps hold it back."
Improvements to the cleanliness and hygiene in some parts of the service was required. Immediate actions were taken to make these improvements.
Staff were positive about working at the service... A staff member said, 'I love my job, it's amazing, I really enjoy it and it's a really good staff team.'
Staff deployment was not consistently safe and effective... Whilst the registered manager had identified one of the units required an additional care staff floater, this was not provided daily.
Staff training had improved, but gaps were still evident in some areas... The training matrix showed continued gaps in some areas.
A continued breach of Regulation 17 Good Governance was identified; systems and processes to assess, monitor and mitigate risks were not sufficiently robust.
An additional activity coordinator had been appointed. People received opportunities to participate in a range of activities. We observed an arts and craft session, bingo, and a quiz.
Staff numbers weren't always enough in one building, so they had to add an extra carer straight away.
Staff deployment in 1 building was not consistently adequate, to meet people's needs and safety. Immediate action was taken to improve staffing.
Training improved but still has gaps in some areas and isn't fully up to date.
Staff training had improved, but gaps were still evident in some areas. The training matrix showed continued gaps in some areas.
Bosses aren't checking things like cleaning and accident records closely enough.
The systems and processes to assess, monitor and mitigate infection prevention and control were not sufficiently robust... Monitoring, oversight and management of behavioural incidents was limited.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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