Last updated: 10 February 2026
"Staff feel well supported in an open culture with enough staff on shifts, but poor risk assessments and no planned activities hold it back."
People were not always protected from avoidable harm because risk assessments were not always clear, comprehensive and up to date. They did not always contain enough information about people’s risks and mitigation strategies for staff to provide safe and effective care. This was a continued breach of Regulation 12 (Safe care and treatment).
Staff were well supported and there was an open culture.
There were enough staff deployed on shift during the assessment to meet people’s needs and provide safe care.
the provider’s training matrix showed that some staff had not completed mandatory training relevant to their roles. For example, only 33 out of 45 staff had completed training in behaviours that challenge and only 26 out of 45 had completed dementia training.
The quality monitoring and audit processes were not always robust as these had not identified issues and concerns identified by inspectors.
We observed that no planned activities were taking place. In the activities lounge, one person had a crossword puzzle book, others had colouring books/pens.
Risk assessments lack enough detail so staff do not always know how to keep people safe.
Risks to people were not always identified and risk assessments lacked enough detailed information for staff to know how to keep people safe.
No activities programme or coordinator means the role is mostly routine personal care.
We observed that no planned activities were taking place. In the activities lounge, one person had a crossword puzzle book, others had colouring books/pens.
Gaps in key training like dementia care and behaviours that challenge leave staff underprepared.
only 33 out of 45 staff had completed training in behaviours that challenge and only 26 out of 45 had completed dementia training.
AI Generated
Last inspected: February 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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