Last updated: 9 February 2026
"Staff feel supported and valued by respectful leadership, but staffing shortages leave people alone and fall risks unmanaged."
We found concerns around the management of risk which resulted in a breach of regulation 12... Robust action was not always taken to reduce the risk of falls.
Staff told us they felt supported and listened to. Comments included, “I feel supported at the moment. [Senior management] are hands on”
We observed on the top floor staff were not always deployed effectively to ensure people received safe care. When we arrived... 1 person... had been left on their own in the lounge for 10 minutes.
Staff said they felt supported and valued. We observed the leadership team were respectful to the staff team and had an open-door policy.
No activities, engagement programmes, or creative approaches described; only routine personal care and incidental mentions like exercises.
Staff numbers too low on top floor, so people left alone at times and carers skip breaks and rush.
2 carers and 1 team leader is not enough... we start at 08.00, we didn’t have breaks. We need more staff so we could spend more time with [people].
Fall risks not fixed properly, with repeated unwitnessed falls and risk assessments often outdated.
falls report for October and November 2023... multiple unwitnessed falls occurred on the top floor... same concern remained for... December and January 2024.
No activities programme or coordinator, so the job is mostly routine personal care.
No structured activities, engagement programmes, or creative approaches mentioned in the report.
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