Last updated: 9 February 2026
"Supportive leadership and safe care, but no structured activities programme and gaps in management oversight hold it back."
We found there was conflicting information in some care plans... We also found that episodes of care were not consistently recorded in people’s charts... there was no evidence of impact on people’s health
Feedback from staff about the leadership team was predominately positive. They told us the management team was supportive and encouraged staff to speak up and raise concerns without fear of discrimination.
People and their relatives told us there were enough competent staff... One person told us, 'Yes, there probably is enough, but they could do with more help.' Others said, 'Agency staff are used if they are short'
Some staff seemed unclear about when they received supervision. Some staff told us they had regular supervision, others told us, 'Supervision is done as and when, it’s supposed to be done every 6 weeks but it’s not always done'
The provider had a schedule of quality assurance systems in place... However, whilst people received safe care, these audits were not always effective in identifying some areas of improvement identified by inspectors on the day of assessment.
People told us they had access to activities, 'I’ve been to one [activity] this morning and it was fun... I also like to do my colourings or watch the television in my room.'
No structured activities programme or coordinator, so the role is mostly routine personal care with just occasional basic activities.
People told us they had access to activities, 'I’ve been to one [activity] this morning and it was fun... I also like to do my colourings or watch the television in my room.'
Management oversight has gaps, audits missed issues like record inconsistencies and missing competency checks.
audits were not always effective in identifying some areas of improvement identified by inspectors... provider compliance audit completed in June 2024 identified... care plans... contain conflicting information... advanced competency observation seen to be at 22% compliance
Staffing is adequate but agency workers cover when short, and residents sometimes wait a long time for help.
“You don’t see many about to be quite honest. Sometimes you have to wait a long time for things to be done.” “Agency staff are used if they are short, but they don’t know the residents as well [as the full-time staff].”
AI Generated
Last inspected: September 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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