Last updated: 10 February 2026
"Staff feel valued and supported with high morale, but gaps in safety records and inadequate night staffing raise concerns."
Safeguarding log incomplete with missing notifications to CQC, incidents not accurately recorded or shared externally, medicines inconsistencies and error without investigation.
Staff felt valued and supported with high morale and collaborative team: 'Holly Cottage has a caring and encouraging culture... staff morale is high.'
Enough skilled staff daytime to meet commissioned hours but night staffing of 1 waking and 1 sleep-in raised concerns for repositioning needs requiring 2 staff.
Staff training up to date with in-house provision, positive behaviour support training, and learning shared via supervisions and meetings but mostly basic mandatory.
Manager readily available with good interactions but oversight failings including no central incident log and failure to independently identify concerns or learn from whistleblowing.
Basic activities like walks, coffee mornings, bowling, cooking; no activities coordinator and inconsistent records with limited wider community engagement.
Safety records have gaps like incomplete safeguarding logs and poor incident reporting to regulators, so you might worry about handling risks properly.
The safeguarding log we reviewed was not fully completed with dates missing and no clear documented process of when concerns had been shared with the local authority and CQC.
Night shifts only have one waking staff plus a sleep-in, which might not cover repositioning for people needing two staff.
At the time of our assessment, staffing levels for nighttime were 1 waking night staff and 1 sleep-in staff. One person’s care plan stated that they needed to be repositioned every 4 hours at night, however it did not detail how this is safely achievable with 1 staff member.
No activities coordinator and mostly basic local outings like walks mean the role is quite routine without much variety.
The location did not have an activities coordinator, and the record of people’s daily activities was inconsistent. Although people enjoyed the local area, we found opportunities to engage with the wider community and increase people’s experiences were limited.
AI Generated
Last inspected: July 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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