Last updated: 9 February 2026
"Engaging activities programme stands out, but weak management oversight, incomplete recruitment files and training gaps create safety risks."
The service continues to be in breach of legal regulation in relation to people’s safe care and treatment. We also identified breaches of regulation in relation to safeguarding, staffing and recruitment.
The culture within the service was poor. Staff did not always have the skills and knowledge to carry out their roles well and some staff were reluctant to change, therefore progression was slow.
We looked at staff recruitment files and found some files lacked application forms, full employment histories and pre-employment documentation and checks. The management team were in the process of reviewing all staff files and identifying issues.
Some mandatory training had taken place, but crucial practical training such as moving and handling had not been carried out in a timely way. Staff competencies had not been completed to ensure moving and handling was carried out safely.
The current manager and clinical lead commenced employment at the service in July 2025. When the new management team commenced at the home, there were minimal governance systems in place. Governance systems were still in their infancy and were in the process of being reviewed and amended.
People had access to an activity coordinator who arranged and carried out a range of activities for people to enjoy... I often see the residential clients having support from the activities co-ordinator with such as armchair aerobics, quizzes, bingo etc
New managers are in place but oversight systems are weak and don't spot problems quickly enough.
Governance systems were still in their infancy and were in the process of being reviewed and amended. Some systems and processes were still ineffective and had failed to identify or address the significant concerns found during the assessment in a timely way.
Recruitment files are missing key checks and staff lack practical skills for safe care.
We looked at staff recruitment files and found some files lacked application forms, full employment histories and pre-employment documentation and checks... staff did not always have the skills and knowledge to carry out their role well, and some staff were reluctant to change.
Mandatory training has gaps, especially moving and handling, leaving care unsafe.
Some mandatory training had taken place, but crucial practical training such as moving and handling had not been carried out in a timely way. Staff competencies had not been completed to ensure moving and handling was carried out safely.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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