Last updated: 10 February 2026
"Enough staff with no agency and a close family team culture, but safety lapses in DoLS renewals and missed safeguarding referrals hold it back."
No effective system to ensure approved DoLS reapplied prior to expiry; 2 incidents potentially met safeguarding threshold but referrals not made or rationale not recorded.
“Teamwork is the name of the game. There is no us and them. It is one team, like a big family”; staff felt well supported by managers.
Staff told us there were enough of them to meet people's needs... “We always have enough staff. It is probably the most staff in all the places I have worked.” and registered manager told us they did not use agency staff.
Staff received regular refresher training, so their work reflected best practice and up to date guidance; provider had achieved Investors in People gold award.
Staff described ‘hands on’ leadership with managers working alongside them, but provider’s audits not robust and 2 breaches of regulations in consent and governance.
People were given opportunities to engage in a variety of activities... trips into the community to visit local shops and the garden centre. Some activities specifically celebrated the diverse range of cultures.
Some mental capacity paperwork on restrictions wasn't renewed on time and a couple of incidents needing safeguarding referrals weren't followed up properly.
there was no effective system to ensure approved DoLS were reapplied for prior to their expiry date... we identified 2 incidents which potentially met the safeguarding threshold. Although the registered manager assured us they had considered if safeguarding referrals were required, their rationale for not making the referrals was not recorded.
Home audits and checks miss key issues like accident trends and CCTV consent rules, so management oversight isn't tight enough.
The provider’s audits were not always sufficiently robust to identity areas for improvement... in relation to the oversight and management of accidents and incidents and Deprivation of Liberty Safeguards... provider had failed to complete a comprehensive appraisal before installing CCTV.
Only basic outings and cultural events mentioned with no activities coordinator, so the role stays mostly routine personal care.
People were given opportunities to engage in a variety of activities to support their physical, mental and social wellbeing. This included trips into the community to visit local shops and the garden centre. Some activities specifically celebrated the diverse range of cultures within the home.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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