Last updated: 9 February 2026
"Good training and engaging activities, but staffing shortages especially nights and weekends plus safety risks from poor records hold it back."
because staff did not document when thickened fluids were given, we could not be assured that individuals who required them had received them as prescribed.
Most staff told us they felt supported by colleagues and management and described good communication across the team.
feedback from both staff and people using the service indicated that staffing levels were not consistently adequate, particularly during nights and weekends.
Staff were receiving appropriate training, which was relevant to their role and people's needs. Staff were supported by the management team and were receiving formal supervisions.
Governance and auditing within the home, although taking place, had failed to identify and address the concerns we found at our site visit.
They have an activity team leader in place, [my relative] is engaged. [My relative] has a Halloween event going on and singers come in.
Not enough staff on most shifts, especially nights and weekends, with high agency use and vacancies leaving care rushed.
The service was short of permanent staff, there were a number of staff vacancies, leading to a high use of agency staff across all shifts.
Risks like choking from unrecorded thickened fluids and poor positioning records not managed well.
Staff did not always provide care to meet people’s needs that was safe... for example, when people had been admitted to hospital and subsequently returned, the electronic system deactivated the prompt that reminded staff to record the administration of thickeners.
Management audits and oversight missed key problems in care plans and risks.
Governance and auditing within the home, although taking place, had failed to identify and address the concerns we found at our site visit.
AI Generated
Last inspected: November 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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