Last updated: 10 February 2026
"Staff are encouraged to voice ideas in a mixed culture, but managers lack oversight, training gaps and stretched staffing are major issues."
There was no oversight of incidents, accidents, and safeguarding concerns. Incident reports to inform learning and reduce risks were not always completed, and staff handover records were not always completed.
Staff provided mixed feedback. Although staff were encouraged to voice their ideas for improving the service, they didn’t always feel listened to, as their suggestions were not always taken forward.
Staff told us, “We are stretched, we don’t go out every day, we will often organise indoor activities,” and “Residents all do the same activities. Wednesday is Club Day, so everyone goes to the club. Swimming is another day, so everyone goes swimming. Some people don’t get to choose their activities.”
Staff had not always received the training they needed to develop the skills required to effectively meet the needs of people living at the home. The registered manager had no oversight of staff training, and not all staff had completed essential training.
Governance and audit systems had not identified the issues we found during this assessment. There was a lack of oversight, monitoring, and action. For example, there was no formal process to monitor the quality of care provided, including care records and daily notes.
There were not always enough staff to enable people to do the activities they wanted to do... People’s care was not always personalised... and people regularly participated in the same activities.
Managers lack oversight and audits miss problems like poor records and safety risks until inspectors point them out.
Governance and audit systems had not identified the issues we found during this assessment. There was a lack of oversight, monitoring, and action.
Staff are stretched thin with not enough people to take residents out into the community every day.
Staff told us, “We are stretched, we don’t go out every day, we will often organise indoor activities.”
Big gaps in staff training for things like medicines checks, fire safety, and first aid leave you unsure if everyone's skilled up.
Not all ‘relief’ staff... have completed fire marshal or medicine training. Other permanent staff had not completed fire marshal training or first aid at work training... Checks to assess staff competency in administering medicines were either not completed or not completed in a timely manner.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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