Last updated: 10 February 2026
"Staff are attentive and enough in number with a supportive culture and varied activities, but poor management oversight fails to monitor risks and quality properly."
The provider had failed to robustly assess the risks relating to the health safety and welfare of people. This was a breach of regulation 12(1)
Staff told us they felt supported and listened to by the management team. Minutes of staff meetings demonstrated that discussions took place about staff practice
At this visit we found there were enough staff to meet the needs of the people living at the home. Our observations throughout our visit showed staff were on hand and attentive
Staff told us they received regular training on safeguarding. Staff had completed medication training and had their competencies assessed
The provider's systems and processes had failed to robustly assess, monitor and improve the quality and safety of the services... This was a breach of regulation 17 (Good governance)
Per 2019 comprehensive inspection: There was an activities co-ordinator whose specific role was to support people with both individual and group activities... trips to the seaside and local parks, arts and crafts, dedicated greenhouse
Managers aren't checking things closely enough, so audits miss problems and care plans stay out of date
Audits were not effective in identifying where actions were needed to improve the assessment and monitoring of risks
Some risks like choking on thin drinks or falls from windows aren't fully covered in records or checks
one person needed their drinks thickened... the person's care plan had not been updated... weekly checks of window restrictors had not identified that restrictors were not fitted with the correct tamper proof screws
Only standard training like safeguarding and medication is mentioned, no specialist courses or funded qualifications
Staff told us they received regular training on safeguarding. Staff had completed medication training and had their competencies assessed
AI Generated
Last inspected: January 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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