Last updated: 9 February 2026
"Staff feel supported with good training, enough staff and engaging activities, but new manager not yet registered and oversight gaps like missing mental capacity checks hold it back."
Safeguarding known, risks mostly managed but MCA breach on CCTV, medicines gaps, 25 falls/16 weeks no formal analysis, environment issues (radiators/fire escape) fixed post-visit.
Staff enjoy work, feel supported: '[Manager] is fantastic... We work well as a team'; 'I like it here because it’s small and personal'; happy to raise concerns.
Sufficient staff via dependency tool, relatives/staff confirm enough available with cover for sickness: 'I feel we do have enough levels of staff. We always have cover if people are sick'.
Regular training refreshers, NVQ Level 2/Care Certificate funded, supervisions/appraisals: 'staff received appropriate training and supervision'.
New manager started but in process of registering with CQC; oversight concerns including MCA/CCTV not identified and no formal incident analysis: 'I sign them off, but I don’t do a formal analysis'.
Regular structured outings/community trips, singing group, school events, quizzes, hub activities: 'People went regularly to a local community hub... inter-quiz competitions'; per 2022: 'activity lady is very inventive'.
No registered manager in post yet as new one still registering, and oversight misses like CCTV mental capacity checks and no formal accident reviews.
new manager had started at the service who was in the process of registering with CQC... the provider had failed to identify they were not following the principles of the Mental Capacity Act 2005 in relation to the CCTV... 'I sign them off (accidents and incidents), but I don’t do a formal analysis'
Some safety gaps like missing mental capacity paperwork for CCTV and patchy medication records risking wrong pain patch placement.
not following the principles of the Mental Capacity Act 2005 in relation to the CCTV... we found gaps in the records, creating a risk that staff might not know where to place a new pain patch
Staff sometimes pulled for cleaning duties taking them away from residents, even with cleaner staying later.
Sometimes staff have to do the domestic duties, which can take them away from the residents, but recently [registered provider] has got a cleaner to stay later
AI Generated
Last inspected: May 2025
Management Quality
Well-led: Good
Direct feedback from current and former employees

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