Last updated: 10 February 2026
"Staff get good training and feel supported with engaging activities, but staffing shortages and poor risk management hold it back."
There were systems in place to assess and manage risks however these did not always work effectively and include regular review where required. Records did not always demonstrate that peoples care plan and risk management plans were being followed. We found anomalies in repositioning records, food and fluid charts.
Staff were supported and engaged. They told us that the management team were approachable and regular staff meetings were held to discuss improvements and changes at the service.
We were not assured that staffing levels consistently met people's needs. Feedback on the availability of staff was mixed from both staff and relatives. Staff told us that there were sometimes shortfalls in staff.
Staff received induction training when they started to work at the service to develop their skills and knowledge and told us that they were well supported. The home had its own in-house trainer and staff confirmed that they had access to both online and face to face training.
We identified risks to people's health and safety at this inspection which had not been identified or addressed through the providers quality systems. For example, despite clinical meetings and daily management meetings taking place, the registered manager was not aware of one person's deteriorating health.
There was an ethos of helping people to lead a full life. People had choice and opportunities were provided to pursue interests and engage in social activities. People were observed participating in a wide range of activities.
Staff numbers sometimes fall short, leaving you stretched with meals, meds, and helping people move.
Staff told us that there were sometimes shortfalls in staff which meant that they were not able to support people in a timely way or spend quality time with them. We observed that on the first day of the inspection the numbers of staff reduced in the afternoon, leaving two care staff and a nurse to support 17 people on one floor.
Risk management has gaps like unchecked equipment and poor records for skin care or fluid intake.
Records did not always demonstrate that people's care plan and risk management plans were being followed. We found anomalies in repositioning records, food and fluid charts. Staff told us equipment, such as syringe drivers and percutaneous endoscopic gastrostomy (PEG) feeds were being checked and cleaned regularly. However, there was no recorded evidence of these checks.
Quality checks miss key risks like building works dangers or residents' health declines.
The provider had a quality system in place to review the quality and safety of care, but this was not fully effective and had not identified the shortfalls we found. We identified that the building refurbishment was impacting on people's safety but there was not an effective plan in place.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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