Last updated: 9 February 2026
"Staff receive regular training, feel supported and enjoy engaging activities, but safety risks and weak management oversight hold it back."
People were not consistently protected from known risks. Risk assessments in relation to the environment had not been undertaken... This was a breach of Regulation 12 (Safe care and treatment).
Staff told us they felt fully supported by the registered manager.
People told us there were enough staff to meet their needs. When a person required 1 to 1 support this was arranged, and additional staff were deployed.
Staff completed regular training to ensure they had the knowledge to complete their role. Staff told us they felt the training was sufficient for them.
Systems were either not in place or were not robust enough to demonstrate an effective and consistent management approach to reviewing, monitoring and identifying risks to people's health, safety and welfare. This was a breach of Regulation 17 (Good governance).
Per 2019 comprehensive inspection: the role and purpose of activity coordinators had changed to occupational therapy assistants... individualised planner... focused shorter trips out into the local community and planned extended trips to the seaside and other attractions.
Safety risks like hot water temperatures over safe levels and ground floor hazards for people with dementia were not checked or fixed properly.
Water temperatures had last been checked and recorded on 8 July 2021... Temperatures of 44 degrees and above were recorded in five people's bedrooms... No action had been taken to check the unsafe water temperatures recorded were correct. Risk assessments in relation to the environment had not been undertaken... breach of Regulation 12
Managers' quality checks missed big safety problems that inspectors found.
The provider's quality monitoring checks had failed to highlight the issues found during this inspection. Systems and processes were not effective in ensuring all risks to people had been identified, assessed and mitigated against. This was a breach of Regulation 17
Staffing is adequate to meet needs but nothing special, with no details on staff staying long-term or agency use.
People told us there were enough staff to meet their needs.
AI Generated
Last inspected: September 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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