Last updated: 9 February 2026
"Strong leadership from the new manager and very caring staff, but incomplete risk assessments, fluid charts, and mental capacity checks need fixing."
One person's risk assessment and care plan did not accurately reflect the change in safety equipment in use following a recent fall. Fluid charts... we did not see evidence that fluid charts were monitored... some improvements were needed to make sure mental capacity assessments... were recorded where restrictions... were in place.
All people and relatives we engaged with spoke very positively about the staff who cared for them. We saw staff to be extremely caring and attentive. People gave us examples of staff going the extra mile for them.
There were enough staff to meet people's needs safely. People said they did not have to wait... The registered manager was addressing existing staff shift patterns... where agency staff were needed, the same staff were used to provide consistent care.
Per 2020 comprehensive inspection: Staff received regular supervisions and annual appraisals to enhance their learning and development. Staff completed an induction prior to working independently and ongoing training to ensure their knowledge remained up to date.
All people, relatives and staff we engaged with spoke very positively about the new registered manager. One relative said they had "installed a change in the fundamental ethos" of the service and a member of staff said, "Working here has improved a heck of a lot. I hope (registered manager) is here to stay."
Per 2020 comprehensive inspection: A range of group and individual activities... included guide dog visits, cocktail club, nursery visits, music reminiscence... The lifestyle co-ordinator arranged...
Some risk assessments, fluid charts, and mental capacity checks for safety equipment like sensor mats and bedrails are not complete or up to date.
One person's risk assessment and care plan did not accurately reflect the change in safety equipment in use following a recent fall; we did not see evidence that fluid charts were monitored to demonstrate what action was taken; 2 people who had sensor mats or beams... did not have mental capacity assessments
Only standard induction, supervisions, and basic ongoing training, nothing specialist or extra development opportunities.
Per 2020 comprehensive inspection: Staff completed an induction prior to working independently and ongoing training to ensure their knowledge remained up to date. Staff received regular supervisions and annual appraisals
Staffing levels meet needs without waits but they still use some agency workers and are changing shift patterns for better consistency.
The registered manager was addressing existing staff shift patterns to further improve outcomes... New staff were being recruited and where agency staff were needed, the same staff were used
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Good
Direct feedback from current and former employees

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