Last updated: 9 February 2026
"Staff and residents trust the manager with good training, but unsafe window restrictors and ineffective audits put people at risk."
The provider had failed to ensure all accessible windows had adequate window restrictors in place. Thirteen private rooms were fitted with restrictors which did not comply... This placed people at risk from avoidable harm from falls at height.
People and staff told us they were confident in the registered manager and they could approach them to discuss any concerns.
The registered manager ensured sufficient staff were deployed to support people. Some staff who worked at the home told us that they were happy with the staffing arrangements, others told us more staff were required at weekends.
Per 2020 comprehensive inspection: Staff were competent, knowledgeable and carried out their roles effectively. Staff told us they regularly updated their training. In addition, staff told us induction training was provided.
The provider had not ensured an effective audit system was in place that drove improvement. The audit system had not identified the window restrictors did not meet HSE guidance.
Per 2020 comprehensive inspection: People said 'We have something happening every day.' A second person told us, 'We have a sing song quite often.'
Windows could be opened too wide at first, risking falls from height.
Thirteen private rooms were fitted with restrictors which did not comply with the Health and Safety Executive Guidance 'Falls from windows or balconies in health and social care.' Three communal rooms did not comply with this guidance also.
Managers routine checks missed safety issues like unsafe window restrictors.
The audit system had not identified the window restrictors did not meet HSE guidance. This was a breach of Regulation 17 (Good governance).
Staffing is adequate but some care staff say they need more help at weekends.
Some staff who worked at the home told us that they were happy with the staffing arrangements, others told us more staff were required at weekends.
AI Generated
Last inspected: February 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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