Last updated: 10 February 2026
"Sufficient staffing meets residents' needs, but gaps in training, limited activities, and unanalysed accident patterns hold it back."
Accidents and incidents were recorded... However, there was no evidence to show that trends and patterns had been analysed to mitigate future risks... Some PRN protocols lacked detail... and some PRN protocols were in place for medicines no longer prescribed.
We received differing views about the support staff received from the management team. Some staff felt supported... Whilst other staff said, 'We can't raise issues with senior staff as they are stressed out.'
Through our observations and speaking with people, staff, and relatives, we found people were supported by sufficient numbers of staff to meet their needs. We looked at 4 recruitment files and found concerns with 2 files.
We found not all staff had completed refresher training in areas the provider had deemed mandatory. The registered manager was taking action to ensure staff training was addressed.
We received differing views about the support staff received from the management team. Some staff felt supported saying, 'The manager is very approachable and understanding.' Whilst other staff said, 'We can't raise issues with senior staff as they are stressed out.'
We received mixed comments about activities in the home... 'No. Sometimes I do a crossword puzzle.'... the registered manager was in the process of recruiting an activity co-ordinator... observed staff providing a karaoke activity.
Staff training has gaps in mandatory refreshers and nothing beyond basics.
not all staff had completed refresher training in areas the provider had deemed mandatory.
No activities coordinator yet, so mostly crosswords or occasional karaoke instead of a proper programme.
mixed comments about activities... recruiting an activity co-ordinator... observed staff providing a karaoke activity.
Accident records kept but no checks on patterns to stop repeats, plus some medication record errors.
no evidence to show that trends and patterns had been analysed... some minor concerns in regard to maintaining appropriate records... Some PRN protocols lacked detail.
AI Generated
Last inspected: February 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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