Last updated: 10 February 2026
"Staff get good training in an open culture with engaging activities, but poor staff deployment, weak management checks and fire safety risks hold it back."
actions from the latest fire checks had not been completed... storage of Items, including a foam mattress, on the first-floor landing... stairgates were not identified within the fire risk assessment or within people's PEEPs.
The registered manager and provider encouraged an open culture of learning from incidents... Staff told us they would report any concerns... and were confident action would be taken.
Staff were not always deployed effectively... we observed staff congregating in communal areas... mixed feedback from relatives... 'Sometimes the staff seem to be over worked,' and... 'It may be understaffed.'
The provider ensured staff received training that met people's needs. Staff administering medicines had received appropriate training and a review of their skills and competences were regularly undertaken.
The registered manager had not regularly reviewed staff deployment throughout the service. Issues of staff congregating... had not been identified during quality audits. We recommend the service reviews their auditing processes.
Per 2018 comprehensive inspection: stand in activities coordinator... activities include people shopping... trips out to the shops and local restaurants... cooking meals, theatre trips, film clubs.
Staff are not always put in the right places so some areas go unchecked and mealtimes feel rushed.
we observed staff congregating in communal areas. Where people had chosen to stay in their rooms, staff were not observed making regular checks... During mealtimes, we observed staff supporting 2 people at once, rushing people to eat
Manager misses some issues in checks like how staff are spread out and care records after falls.
The registered manager had not regularly reviewed staff deployment... audits... had not identified shortfalls in the recording of care provided following an incident.
Fire risks like clutter on stairs and stair gates are not fully covered in evacuation plans.
The fire risk assessment 2022 had identified a staircase enclosure with excessive storage... we saw the storage... stairgates were not identified within the fire risk assessment or within people's PEEPs.
AI Generated
Last inspected: April 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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