Last updated: 10 February 2026
"Staff feel supported with sufficient experienced staff, good training and engaging activities, but unsettled leadership from management changes and unreported safeguarding incidents hold it back."
Staff had received safeguarding training and were aware of their responsibilities... Whilst safeguarding incidents had been reported to the local authority... the provider had not always notified us, the Care Quality Commission (CQC) as required.
Staff told us they felt supported. Staff were positive about working for the provider and felt well supported, enabling them to provide effective care. A staff member said, “...I feel well supported.”
There were sufficient numbers of experienced staff in place at the time of the inspection. The provider used a dependency tool... Our findings confirmed that staffing levels were adequate to meet those needs.
The training matrix showed overall good compliance. A broad range of training had been delivered to ensure staff were equipped... Competency assessments for care staff and clinical competencies for nurses were actively being completed.
Changes to the management team had affected the service. A new manager had been appointed who had developed an action plan... Currently, clinical support, oversight and leadership were provided by the clinical lead from the provider’s other registered nursing home. The internal clinical lead position was being recruited to.
A dedicated care staff member was assigned daily to coordinate activities, with a visible timetable... These included celebrations of special occasions, themed events, and visits from external entertainers such as singers and a mobile zoo.
no registered manager in post yet and clinical lead position is empty so leadership feels unsettled
the manager, who had submitted their registered manager application... the internal clinical lead position was being recruited to.
some safeguarding alerts were not reported to the regulator as required
the provider had not always notified us, the Care Quality Commission (CQC) as required.
not enough learning shared from accidents and incidents to prevent repeats
there was limited evidence of investigations to consider the possible cause and actions to reduce recurrence and learning being shared with staff.
AI Generated
Last inspected: December 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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