Last updated: 10 February 2026
"Stable staffing without agency and supportive management, but weak oversight missed safety risks and environmental hazards."
One persons care records, and risk assessments did not always hold sufficient and up to date information on how to support people safely. For example, using a wheelchair to transfer a person. Some environmental risks to people had not been addressed.
Staff told us they felt supported by the management team and were able to be involved by making suggestions and improvements within the service. Staff told us the management team were approachable and very supportive.
Staff were available to respond to people's needs and staff told us there were enough staff on shift to provide safe care. A staff member told us, 'There is always enough staff on shift. We do not use agency staff, the staff team cover the shifts.'
The staff training matrix showed the training staff were expected to complete and when this required updating. Staff had completed training on dementia care, this included e-learning and on site training.
Governance system were in place. However, the oversight of these had not always been effective. The systems had failed to identify some of the concerns we found during the inspection.
During the inspection we observed people enjoying different activity sessions, including a reminiscent discussion group and a music session. We also received lots of positive comments about a recent jubilee party that took place at the home.
Managers quality checks missed risks like damaged furniture and infection problems, so oversight is not reliable day to day.
Health and safety checks and audits were not always effective. Although audits had taken place, they had failed to identify risks within the environment. For example, a damaged bedside table in use in a person's bedroom and some areas of the home posed an infection control risk.
Some safety risks not picked up properly, like outdated care plans for moving people and recent medication mistakes.
Some risks to people had not been identified through the provider's own systems. This placed people at risk of harm. There had been some recent medication errors.
Only basic group activities like music and reminiscence chats, no coordinator or varied programme to enrich the working day.
We observed people enjoying different activity sessions, including a reminiscent discussion group and a music session. We also received lots of positive comments about a recent jubilee party that took place at the home.
AI Generated
Last inspected: August 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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