Last updated: 10 February 2026
"Staff receive good training and supervision, but low staffing levels especially at night, poor management oversight, and weak risk assessments hold it back."
We identified two breaches of the legal regulations. The risks associated with people’s care was not always being managed in a safe way... there was a lack of analysis of themes and trends when people had fallen... Risks assessments were not always detailed with guidance for staff.
Staff felt there was a lack of shared direction at the service... We are not robots, we can feel tired... Staff did not always feel confident in being able to speak up if necessary. Other staff did say they felt supported and listened to.
Safe and effective staffing Score:1. The majority of staff raised concerns about the staff levels or the deployment of staff... rotas showed 8 nights since 18 March 2024 where there were only 3 staff working.
staff were sufficiently trained and supervised staff to meet the needs of people... Staff told us they felt the training was sufficient and were able to have one to one meetings with their manager.
There was a lack of management and provider oversight to review some shortfalls of care to make improvements. There were staff that did not feel valued or supported whilst other staff did say they felt listened to knew they could raise concerns.
Not covered in 2024 targeted assessment; 2019 report more than 2 years old.
Staffing levels are too low especially at night with only 3 staff on some shifts when 4 are needed and staff work long tiring shifts back to back.
rotas showed 8 nights since 18 March 2024 where there were only 3 staff working... staff were working 6 days in a row of 12-hour shifts. One member of staff worked 7 days in a row
Managers lack oversight of care issues and some staff feel undervalued, bossy leadership and scared to speak up.
lack of management and provider oversight to review some shortfalls of care... staff that did not feel valued or supported... Instead of being a leader [registered manager] is bossy... If I speak up, they will mark me
Risk assessments lack detailed guidance for staff on handling falls, anxiety or call bells and no analysis of fall trends.
Risks assessments were not always detailed with guidance for staff... lack of analysis of themes and trends when people had fallen... falls had increased in March 2024
AI Generated
Last inspected: May 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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