Last updated: 9 February 2026
"Positive culture and safety improvements shine through, but unstructured activities and gaps in staff training like medicines skills hold it back."
The provider’s had made improvements since the last assessment and taken sufficient action in relation to safe care, medicines, health and safety requirements and is no longer in breach of regulations.
There was a positive culture, based on collaboration and a motivation to improve. Staff were positive overall about the management of the service.
People and relatives felt staffing was sufficient overall for people’s needs, but at busy times, some felt this would benefit from being increased. Two people felt with the current staffing levels they had to wait longer for their call bell to be answered.
The providers had not identified that not all staff had completed their COSHH training or that 4 of the medicines trained staff did not have an up-to-date medicines competency and 2 staff needed to refresh their medicines training.
further time is required for the providers to fully embed some of their processes, especially in relation to the oversight of staff training as a whole and supervisions, and systems to ensure all required tasks are completed in a timely manner.
Per 2022 comprehensive inspection: The providers did not have a structured activity programme. However, they did offer people a weekly exercise class, visits from the hairdresser and volunteers and Holy Communion monthly.
Only basic group activities like chair exercises and fundraising with no dedicated coordinator, so the role is mostly routine personal care.
This year people had once again wanted to do a fundraising project. We saw people and staff completing their ‘chair burpees’ together in order to raise money for the national ‘Children in Need’ appeal. Per 2022: The providers did not have a structured activity programme.
Gaps in mandatory training like chemical safety and medication skills for some staff.
We identified not all staff were up to date with their Control of Substances Hazardous to Health (COSHH) training... 4 of the medicines trained staff did not have an up-to-date medicines competency and 2 staff needed to refresh their medicines training.
Staffing is enough most of the time but busy periods need extra hands and there are short waits for call bells.
Five people and relatives either said more staff were needed or that more staff would be beneficial at busy times. Two people commented that they had to wait for their call bell to be answered, but not for lengthy periods, no longer than 3 minutes.
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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