Last updated: 9 February 2026
"Good ongoing training and enjoyable activities, but high agency staff use and weak oversight mean risks are not always managed properly."
Risks were not consistently recorded with identified strategies in place... Risk strategies were not always recorded as completed.
Staff did not feel they had been asked for their feedback on the service. However, staff did feel supported by the registered manager and felt able to raise concerns they may have.
people, relatives and staff had concerns over the number of temporary (agency) staff used. The use of agency staff impacted on the recording of support offered to people, information being shared with relatives and how well staff knew people.
Staff received ongoing training in fire, health and safety, infection prevention and control, moving and handling, dementia, equality and safeguarding. Additional training was being arranged to ensure all staff had training in oral healthcare, mental health and end of life care.
Systems and processes to ensure good oversight of the service were not always effective in identifying concerns or rectifying issues.
We observed activities being offered throughout the day. People told us they enjoyed the activities. One person told us, '[Activity staff] will arrange stuff for me, I then decide if I want to do it.'
Lots of agency staff covering shifts means they don't know residents well and support can be delayed.
due to the amount of temporary staff (agency staff) used, people and staff told us there was often an impact on people being supported. One person said, 'We receive good care unless there are too many agency staff on. Some agency staff don't know how to move me safely, so I have to wait.'
Weak oversight leads to gaps in records and risks not always being managed properly.
The provider had failed to ensure adequate and effective systems and processes were in place to assess, monitor and mitigate risks to the health, safety and welfare of people using the service. This was a breach of Regulation 17 (1)
Risk checks and safety records are not always completed fully or on time.
Risk strategies were not always recorded as completed. For example, when people were unable to use a call bell... staff had not consistently recorded these checks had been completed within the timeframes specified.
AI Generated
Last inspected: December 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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