Last updated: 10 February 2026
"Staff feel supported with engaging activities, but staffing shortages and unfinished safety charts hold it back."
Staff did not always follow guidance in people’s care plans and risk assessments. People’s monitoring charts were not always completed as required. This included for fluid intake... and re-positioning to prevent pressure injuries.
Staff felt supported, and supervisions were held. Most staff gave positive feedback about working at the service. A staff member told us, 'I feel supported in my role'.
The provider had not ensured there were enough competent staff to provide safe care. People were not always supported by enough staff. Staff were observed to be task-focused with limited time for social interaction.
The provider’s training compliance tracking was unreliable, and some competency issues remained. 1 staff member showed as 100% compliant but had not completed safeguarding training.
The registered manager was not always visible to people and their relatives in the service. People we spoke with, and their relatives had little or no interaction with them.
People were offered activities most days. We observed the activities coordinator engage some people with them. This included reading a book to someone in their room, doing an interactive game and quiz.
Not enough staff at times so residents wait for help and there's no time for chats beyond tasks.
People were not always supported by enough staff. Staff were observed to be task-focused with limited time for social interaction. A person said, 'We do need more staff at times. There are only 2 staff. Which means we have to wait.'
Training records are unreliable with gaps in key areas like safeguarding and ongoing competency problems.
The provider’s training compliance tracking was unreliable, and some competency issues remained. It was unclear how the compliance percentages were calculated as 1 staff member showed as 100% compliant but had not completed safeguarding training.
Ongoing risks from unfinished fluid and repositioning charts leading to dehydration and pressure sores.
People’s monitoring charts were not always completed as required. This included for fluid intake to ensure they remained hydrated and re-positioning to prevent pressure injuries... a person had not met their target for 6 days out of 14.
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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