Last updated: 9 February 2026
"Excellent activities with an award-winning coordinator and supportive culture, although management audits missed care plan issues and agency staff cover some shifts."
Medicines were well managed and safely stored and administered... Staff carried out medicines audits regularly... Safeguarding incidents had been reported and investigated thoroughly.
There was an open culture, led by the registered manager who was described by staff as being approachable and supportive. Staff felt confident in raising any concerns.
People, relatives and staff felt staffing levels were sufficient... The registered manager told us that agency staff were being used on occasions whilst recruitment was ongoing.
Staff received the training they needed to make sure they had the skills to support people's needs. Training was specific to the needs of people using the service. For example, training on dementia care and diabetes was provided.
Quality assurance systems were in place, but these were not always effective in driving improvement and identifying shortfalls. For example, care plan audits failed to identify differences within documentation.
A dedicated activity coordinator was in post and a wide range of activities was available... In the garden, a small dementia village had been built... the activity coordinator won the award for best coordinator of the year.
Managers checks on care plans and risks missed some problems like outdated health details and poor documentation.
monthly care plan audits failed to pick up discrepancies with documentation... monthly care plan audit failed to identify this shortfall
Some agency staff cover shifts while recruiting permanent workers, so the team is not fully stable yet.
agency staff were being used on occasions whilst recruitment was ongoing. Where agency staff were required, the same staff were requested to ensure continuity of care.
AI Generated
Last inspected: July 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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