Last updated: 10 February 2026
"Enough staff without agency use and a supportive culture for workers, but poor management oversight leaves risk assessments outdated and incomplete."
Risks to people were not always safely managed. Individual risks to people were not always assessed in line with best practice and several risk assessments were lacking in key area including medicines, behaviour which shows distress and mobility... the provider had not commissioned a Legionella risk assessment in line with best practice since 2018.
Staff felt well supported... Staff told us they felt listened to and any issues they raised were acted on. The registered manager had an open-door policy.
There were enough staff to support people and the provider did not need to use agency staff. Any additional shifts were filled with bank or overtime. A person told us, "There's always enough staff. Staff are really good and know me well."
Per 2018 comprehensive inspection: Staff received training in a range of topics... New staff completed an induction which followed the Skills for Care 'care certificate'. Staff received supervision from their line manager every two months.
The oversight of the provider required improvement. Despite frequent checks of people's records and weekly risk meetings, the provider's oversight systems had failed to ensure risk assessments were always carried out and kept up to date where necessary... These issues form a breach of Regulation 17.
People were encouraged to do activities they were interested in with individual and group activities on offer. Most people managed their own activity schedules.
Management oversight misses key issues like incomplete risk checks and hiring record gaps, leading to repeated problems.
The oversight of the provider required improvement... failed to ensure risk assessments were always carried out... gaps in employment records had not always been explored... breach of Regulation 17.
Risk plans for behaviours, mobility, medication, and water infections are not always complete or up to date.
Individual risks... lacking in key area including medicines, behaviour which shows distress and mobility... Legionella risk assessment... not carried out in line with best practice since 2018.
Only basic individual and group activities with no dedicated coordinator or special programmes to vary the workday.
People were encouraged to do activities they were interested in with individual and group activities on offer. Most people managed their own activity schedules.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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