Last updated: 9 February 2026
"Improved culture where staff feel listened to and stable staffing with less agency use, but weak management oversight and outdated care plans are concerns."
We saw that for one person, information about a health condition was not up to date and their care plan required that their blood pressure was being taken and recorded twice a week. We found no records of blood pressure monitoring.
Staff told us that the culture of the service had greatly improved as a new team had been formed. Staff told us they were able to approach the registered manager and nursing staff to raise concerns and that they felt listened to.
We saw evidence that staffing levels were monitored to meet the needs of people to ensure safe care and the registered manager told us recent recruitment meant there had been less use of agency staff.
Not covered in detail in 2023 focused inspection (training data reviewed with no specific findings).
Systems and processes to monitor the service were not robust and we were not assured the provider's oversight and governance of the service was effective in identifying concerns in relation to safety and quality.
Not covered in 2023 focused inspection; 2019 report more than 2 years old.
Managers do not keep strong enough oversight, missing some notifications to regulators about abuse concerns and not doing quality checks regularly.
quality assurance systems to assess and monitor the service were not always being routinely used and CQC was not always being sent notifications as required.
Some care plans and risk checks are not up to date, like no records of blood pressure monitoring that was supposed to happen twice a week.
for one person, information about a health condition was not up to date and their care plan required that their blood pressure was being taken and recorded twice a week. We found no records of blood pressure monitoring.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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