Last updated: 10 February 2026
"Staff receive thorough training and residents give positive feedback, but unreported abuse and weak leadership create serious safety risks."
The provider had not taken appropriate actions to safeguard people from the risk of abuse. This was a breach of regulation 13.
Feedback received from people and relatives about the service was positive, with all responses stating they were happy with the service they were receiving.
There were adequate staffing levels to provide people with care and support and meet their needs.
Staff received a full range of training which provided them with the skills appropriate to their role. Staff knowledge and skills were checked via competency assessments. Training was regularly refreshed.
The provider's quality assurance and governance arrangements were unreliable or ineffective in identifying the shortfalls in the service.
People living at the service socialised and intermingled with each other regularly, engaging in activities together such as playing pool in the lounge, or football in the garden if they chose.
Abuse concerns and incidents like assaults or self-harm threats were not reported to authorities, leaving gaps in protecting residents.
Several instances of notifiable events, including alleged assaults, and threats of self-harm were identified during inspection. The registered manager confirmed that these incidents had not been notified to CQC, or to the local authority safeguarding team.
Leadership oversight is weak with ineffective audits that miss safety issues and no analysis of accidents to learn from.
Quality assurance and governance systems did not include analysis of themes and trends, or include lessons learned from incidents that had occurred.
No activities coordinator or structured programme, just basic things like pool or garden football to break up routine care.
People living at the service socialised and intermingled with each other regularly, engaging in activities together such as playing pool in the lounge, or football in the garden if they chose.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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