Last updated: 9 February 2026
"Enough staff and a supportive culture for workers, but weak management oversight and safety issues like unsafe premises hold it back."
The service was in breach of legal regulation in relation to people’s safe care and treatment including medicines administration and ensuring the premises are safe for people
Staff told us they were happy in their role and felt well supported. One staff member told us, “The managers are doing well. If I ask for support from the managers, they are there immediately.”
There were enough staff to provide people with the support they needed to keep people safe. One relative told us, “There always seem to be someone about. They’re never rushed.” Staff told us they had time to sit and talk to people
staff manual handling competency had not been checked. The registered manager commenced undertaking these checks immediately after the inspection
Governance, management and sustainability Score:1 The provider did not have systems of accountability or good governance. They did not always act on the best information about risk, performance and outcomes
Managers did not spot care gaps or safety issues like blocked fire exits and unsecured oxygen before the inspection, so oversight is weak
We identified a number of concerns during the inspection which should have been identified and addressed by the providers quality assurance systems. For example... oxygen which was stored in the medicines room was not chained to the wall
Some risks like dehydration, constipation, and high blood sugar were not managed well enough in care plans
Risk assessments for constipation needed to be improved... Documentation showed they had been constipated for 5 days, and PRN medicine had not been offered
Staff skills check for moving and handling people was missing until after the inspection
staff manual handling competency had not been checked. We raised this with the registered manager, and this was addressed immediately after the inspection
AI Generated
Last inspected: January 2022
Management Quality
Well-led: Good
Direct feedback from current and former employees

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