Last updated: 10 February 2026
"Staff feel supported with good training and activities programmes, but weak governance and poor incident reporting hold it back."
Learning culture Score:2. The provider did not always have a proactive and positive culture of safety; incidents were not always appropriately reported.
Staff spoke positively about their roles and felt supported by the registered manager. A staff member said, 'Staff morale is good.'
Safe and effective staffing Score:3. We observed sufficient staff were available... However, some felt staffing levels were not always sufficient.
Staff confirmed completing an induction, which included shadowing a colleague and undertaking the provider’s mandatory training. Records showed training was being refreshed.
Governance, management and sustainability Score:1. The service did not always have clear and effective governance, management and accountability systems.
Per 2018 comprehensive inspection: The service employed creative activity therapists who arranged and provided a programme of activities throughout the week, including group and one-to-one.
Some risks like skin sores and weight loss were not checked and monitored well enough by staff.
governance shortfalls, which identified some risks to people, such as those relating to skin integrity and weight loss, were not being sufficiently monitored by staff.
Accident records and safety concerns were not always reported to council teams or the care regulator as needed.
the concern had not been referred to the local authority safeguarding team... several other safeguarding concerns had not been notified to CQC as required.
Staffing is adequate but can feel stretched when someone calls in sick, relying on extra shifts from the team.
When someone goes off sick, it might affect our levels... If short staffed, it might take longer.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp