Last updated: 10 February 2026
"Staff feel well supported with good training, but poor incident recording, staffing delays and limited activities hold it back."
Systems for reporting incidents and accidents were not robust. There was inconsistent practice regarding recording and investigating incidents. Some incidents of choking had not been recorded.
Staff told us they felt well supported in their roles... 'There’s a good bond here and everyone helps each other.' 'It’s really like a family here.'
Staff deployment meant that some people were not receiving the support they needed in a timely way, including at mealtime and this had a negative impact on people’s dignity.
Staff were receiving the training and support they needed for their roles. Records showed, and staff told us, they were receiving regular supervision.
Governance systems were not always effective. Shortfalls in the management of risks relating to choking had not been identified through systems for monitoring incidents and accidents.
We noted some people were supported to join in with balloon tennis, but we observed some people were not supported with meaningful activities on the day of our visit.
Accident records not always completed and choking incidents not fully investigated, so lessons from mistakes are missed.
Some incidents of choking had not been recorded, and investigations were not always thorough to identify improvements in practice or prevent further occurrences.
Staff too busy at times to answer call bells quickly or help with outings, leaving people waiting up to 20 minutes.
During our visit we observed one person’s call bell rang for 20 minutes before staff were able to support them... People told us that staff were not always responsive to their needs.
Only basic activities like balloon tennis with no meaningful options for everyone and rare outings due to busy staff.
People told us their social needs were not always supported and there were limited opportunities to access the local community... 'I’d love to get out, but there is no one to take me.'
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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