Last updated: 10 February 2026
"Good training and low staff turnover build a positive culture, but weak governance and poor accident recording need attention."
Accidents and incidents were not always recorded. For example, when people had suffered a serious injury, appropriate accident forms had not been completed. Records did not always provide sufficient information when people were administered 'when required' medicines.
A member of staff said, 'We all work well together with the support of the provider.' Staff turnover was low.
The service had enough appropriately skilled staff to meet people's needs and keep them safe. Staff turnover was low, which supported people to receive consistent care from staff who knew them well.
Per 2019 comprehensive inspection: Staff had completed an induction and ongoing training was provided to keep peoples knowledge up to date. Staff received supervisions every three months and annual appraisals.
The registered manager had the skills, knowledge and experience to perform their role, but they did not always have effective oversight of the services they managed. Governance processes were not always effective.
Per 2019 comprehensive inspection: People engaged in regular activities with staff and other people living at the service. Staff supported some people to access the community... planned outings which people told us they enjoyed. These included shopping trips; cinema outings.
The manager does not spot or fix issues quickly because quality checks and audits are weak.
Governance processes were not always effective to hold staff to account... Audits that had been completed were not robust and did not cover all expected areas.
Accidents and as-needed medications are not always recorded properly.
Accidents and incidents were not always recorded. For example, when people had suffered a serious injury, appropriate accident forms had not been completed. Records did not include why the medicine had been given and if it had been effective.
Recruitment is not thorough enough, missing checks on past jobs and references, and not handling convictions properly.
Safe recruitment processes were not in place and followed. Gaps in employment had not been explored and references had not always been requested... Where DBS checks had highlighted previous convictions, thorough action had not been taken.
AI Generated
Last inspected: December 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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