Last updated: 10 February 2026
"Activities team tries hard, but high agency use due to vacancies, unstable management, and training gaps like catheter care hold it back."
The service was in breach of legal regulation in relation to people’s safe care and treatment; the way people’s medicines were managed, and staffing.
Over half the care staff team had only 1 supervision meeting with a line manager and some staff had none in 2025. This was not in line with the provider’s own policy.
There were a significant number of permanent staff vacancies, leading to a high use of agency staff across all care shifts including senior care staff.
Staff had not been trained to carry out their roles in specific areas, such as catheter care, Parkinson’s disease and diabetes.
People and their relatives told us they had concerns with current management changes, with the previous registered manager leaving and interim managers being in place and then moving on. Many people did not know who the manager was or who to go to if they felt they needed to raise a concern.
The activities team try hard, they do the best they can. I have a lot of time for them, but it is all a bit samey.”
Lots of agency workers covering staff shortages on all shifts, so care feels rushed especially evenings and weekends.
There were a significant number of permanent staff vacancies, leading to a high use of agency staff across all care shifts including senior care staff. People and their relatives were overwhelmingly concerned about the staffing situation and use of agency staff, which they said impacted on their care and quality of life.”
No permanent manager in place and interim ones keep changing, so leadership is unstable and communication poor.
previous registered manager leaving and interim managers being in place and then moving on. They said this led to communication not being as effective as it should be. Many people did not know who the manager was
Gaps in training for conditions like diabetes and catheter care, plus hardly any supervision meetings for staff.
Staff had not been trained to carry out their roles in specific areas, such as catheter care, Parkinson’s disease and diabetes. Over half the care staff team had only 1 supervision meeting with a line manager and some staff had none in 2025.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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