Last updated: 9 February 2026
"Staff feel supported by management with sufficient staffing, but outdated care plans and risk records lack guidance for safe care."
Not all care and risk support plans reflected people's current needs or gave guidance to staff on how to provide safe care... This placed people at heightened risk of unsafe care. This was a breach of regulation 12(1).
The majority of staff told us they felt supported by the management team. One staff member said, 'I know I can go to them about anything,' and another said, 'Spirits have lifted. There is light at the end of the tunnel.'
A dependency tool was used to calculate safe staffing levels. We saw there were sufficient staff to meet people's needs on the day of inspection... We received mixed feedback about staffing levels. Recruitment was ongoing to fill vacancies.
The registered manager had identified improvements were needed to staff practice to support people when they were distressed... This included more training for staff to support their skills, knowledge and confidence.
The registered manager started in post several months ago and was open and transparent about the range of improvements in progress... Audits had already identified the concerns we found with care planning documentation, as well as oversight of the daily monitoring of some known risk areas.
Care plans and risk records are not always up to date, so staff lack clear guidance to deliver safe care.
Not all care and risk support plans reflected people's current needs or gave guidance to staff on how to provide safe care. This placed people at heightened risk of unsafe care.
Manager is new and working on fixes, but oversight of risks and daily records is not consistent yet.
Audits had already identified the concerns we found with care planning documentation, as well as oversight of the daily monitoring of some known risk areas. The records required strengthening.
Staff need more training on supporting people who get distressed from dementia.
The registered manager had identified improvements were needed to staff practice to support people when they were distressed, usually because of symptoms of dementia. This included more training for staff.
AI Generated
Last inspected: November 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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