Last updated: 9 February 2026
"Good staff retention, training and wellbeing support, but skipped risk checks and weak oversight create safety gaps."
Involving people to manage risks Score:1 Risks to people’s safety and wellbeing had not always been assessed, monitored or mitigated... Medicines optimisation Score:1 Systems were in place to manage medicines; however, records were not always person-centred.
Workforce wellbeing and enablement Score:3 Staff told us they felt well supported and happy in their work.
Safe and effective staffing Score:3 There were enough staff deployed to meet people’s needs and keep them safe... low rate of sickness and good staff retention.
All staff received a comprehensive induction and training. Their skills, competencies and knowledge were assessed.
Governance, management and sustainability Score:1 The provider had systems for monitoring and improving quality. However, these were not always effectively implemented.
The provider employed activities staff. They provided a range of organised activities which people enjoyed. There were special events and people had engaged on projects, including writing and illustrating a book and an art exhibition.
Staff sometimes skip checks for risks like choking at meals or turning people to avoid skin sores, and medication notes lack details for tricky cases.
1 person had been assessed as at risk of choking. Their plan stated they should be monitored when eating. This did not always happen. For other people who were at increased risk of skin damage, staff had not always ensured they were regularly repositioned... Care plans and protocols did not contain sufficient information for staff to support people who had complex needs.
Quality checks by bosses miss problems like poor care plans and safety gaps, letting issues build up.
The provider’s systems and processes for monitoring and improving the quality of the service were not always effective... The provider’s systems for monitoring and mitigating risk had not identified risks relating to medicines management.
Activities team runs events like art shows but residents feel lonely and want more one-to-one time or personal hobbies.
Some people told us they were lonely and would like more opportunities to take part in a wider range of suitable activities... Some people told us they would like more support to pursue their interests outside of organised activities.
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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