Last updated: 9 February 2026
"Good staff training and positive culture, but weak governance and poor risk assessments compromise safety."
Assessments of people's needs, and risk had not been recorded for people on their arrival at the service. This included risk assessments in relation to skin breakdown, diabetes, dementia, falls, pain and choking.
Every member of staff we had contact with was positive about the management team. Comments included, 'I have worked in care before, and I think they manage very well', 'The management are approachable, they know what is happening there' and 'Nothing is too much trouble'.
On the day of our inspection we found there were enough staff to meet people's needs. This was confirmed by people and their representatives.
Staff attended online and in-person training. The registered manager was committed to developing staff skills. They had funded staff to do additional training and were regularly sourcing new courses as the service developed.
The provider's quality assurance and governance arrangements were not effective. This was a breach of Regulation 17 [Good governance] of the Health and Social Care Act 2008 [Regulated Activities] Regulations 2014.
Staff organised events, weekly trips out and celebrated special days such as birthdays. Relatives told us, 'They are now doing more activities like gardening and taking them out' and '[Person] has the hairdresser come and went out to the little local cinema'.
Risk assessments and care plans lack detail, so staff risk delivering unsafe care without clear guidance.
Care plans did not provide sufficiently detailed information and guidance to staff to ensure they could support people safely.
Management oversight is weak and misses key problems like poor risk checks and staffing plans.
The registered manager and provider had not put in place effective systems to protect people from risk and ensure they receive good quality care.
No proper system to work out staffing levels based on people's changing needs, and clinical lead was not fully qualified.
The registered manager did not use a formal system to ensure there were enough staff on duty to meet people's needs. There was not always a trained nurse on duty.
AI Generated
Last inspected: January 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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