Last updated: 10 February 2026
"Staff training is up to date and the culture is positive with proud, motivated staff, but unreliable governance and inconsistent safeguarding hold it back."
Safeguarding concerns had not always been reported appropriately. There was limited evidence of learning from accidents or incidents and what, if any action was taken when things went wrong.
The service had a positive culture that was person centred, open and inclusive. The registered manager supported and motivated staff who were proud of the service they worked in.
There were enough staff on duty with the right mix of skills to ensure practice was safe.
Staff training was up to date and additional training courses had been completed. For example, staff were trained in diabetes, prevention of pressure ulcers and sepsis.
Governance systems were not always reliable or effective and there was limited evidence that learning had taken place to improve the quality of the service.
Not covered in this inspection report.
The manager does not have strong enough oversight because there is no good system for recording incidents and learning lessons from them.
The provider did not have a system in place to record and review incidents, there was limited evidence of any action taken to improve safety.
Safeguarding concerns are not always reported or handled consistently by the manager.
Safeguarding concerns had not always been reported appropriately. Although the registered manager had a system in place to support safeguarding concerns, further work was needed to ensure this was effective.
Staffing is adequate with enough staff to keep care safe, but no details on low agency use or good staff retention.
There were enough staff to ensure people received safe care.
AI Generated
Last inspected: August 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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