Last updated: 10 February 2026
"Staff work well together in a supportive culture with reliable staffing and varied activities, but patchy oversight leaves safety and training records incomplete."
Incidents within the service, were recorded but were not always reviewed to prevent reoccurrence. The registered manager told us staff always discussed incidents with the management team; however, records of accidents and incidents were not always complete.
Staff told us the service was a good place to work, they could share ideas and were listened to. Staff said they worked as a team and supported each other.
People told us staff were there when they needed them. Observations made during our inspection did not highlight concerns about staffing levels.
Training was available in accordance with good practice guidelines for staff who worked with people who required care and support. However, training records did not accurately reflect when staff had completed training.
There was confidence in the registered manager of the service, however, oversight of the service was not always effective to ensure procedures were followed correctly.
People had access to a wide variety of activities, hobbies and pastimes, all directed by them. We also check in and ask them daily what they want to do.
Managers do not always spot problems like incomplete accident records or safety shortfalls, so oversight feels patchy.
Provider oversight systems had not identified their processes had not been followed. Therefore, governance systems were not always operating effectively as they had not identified the shortfalls we found within this inspection.
Training records are messy and do not show clearly if everyone is up to date, so you cannot be sure colleagues have all the needed skills.
training records did not accurately reflect when staff had completed training. The provider assured us during the inspection this oversight would be addressed.
Accident and incident records are not always complete or reviewed properly, and some safety risks like fire hazards from skin creams were missed.
fire risks associated with paraffin-based creams were not assessed. During our inspection we identified the provider’s fire safety policy, which stated each person should have their own individual cream risk assessment, had not been followed.
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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