Last updated: 9 February 2026
"Staff enjoy a positive culture and feel supported by the manager, but training gaps, non-care staff covering care shifts, and weak governance hold it back."
However, the quality of some risk assessments was variable and there were some gaps in the risk assessments we viewed. There were gaps in some mental capacity assessments and best interest decisions which required specific decisions for people.
Staff said they enjoyed their work and felt supported by the registered manager. Staff told us the registered manager promoted a “work life balance” and promoted a positive culture for the team.
We found some staff whose primary role at the service did not include care duties had provided care to people, during staff shortages. These staff were not appropriately skilled and trained to do so. Training records showed some staff working as carers did not have the mandatory training in place for care staff. This included dementia training.
Not all staff providing care to people were suitably skilled and trained. This was a breach of Regulation 18, Staffing.
The service had quality assurance and monitoring systems however, they were not always consistent in identifying shortfalls at the service. We found shortfalls in some assessments. There were some gaps in recruitment processes and training. This meant the provider was in breach of Regulation 17, Good Governance.
We observed people moving freely around the home and garden, some people were involved in washing up and carrying out jobs in the kitchenette area, others were involved with activities.
Some carers lack key mandatory training like dementia care, so shifts might involve working with untrained colleagues.
Training records showed some staff working as carers did not have the mandatory training in place for care staff. This included dementia training.
Non-care staff sometimes cover care shifts during shortages and recruitment misses full work history checks.
We found some staff whose primary role at the service did not include care duties had provided care to people, during staff shortages. The provider had not requested a full employment history for staff, as part of their employment application.
Governance and oversight systems fail to spot issues like training gaps and risk assessment shortfalls consistently.
The service had quality assurance and monitoring systems however, they were not always consistent in identifying shortfalls at the service... This meant the provider was in breach of Regulation 17, Good Governance.
AI Generated
Last inspected: December 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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