Last updated: 10 February 2026
"Staff feel supported by a visible manager and receive thorough training, but poor incident reporting and inconsistent staffing levels hold it back."
incidents and accidents were not always shared with the appropriate agencies, and checks to the safety of the environment and equipment needed further improvement... The registered manager did not always ensure incidents were shared with the Care Quality Commission... required statutory notifications had not been submitted.
People and relatives complemented the registered manager’s presence... Staff confirmed the registered manager had the appropriate skills to lead effectively. “We couldn’t ask for a better manager.”
Staff we spoke to did not raise any concerns with staffing levels or their workloads. However, we received mixed feedback from people and relatives about staffing levels... “I don’t feel there are always enough staff. Sometimes there are plenty and sometimes very few.”
Staff received a thorough induction and a robust package of training... “Yes, it was a good induction. We have a good level of training. Anything we are unsure of [the registered manager] will put face to face training in place.” some staff had designated ‘champions’ roles... dementia, dignity, end of life, falls prevention and continence.
The registered manager was visible, available and lead by example. Staff confirmed: “We couldn’t ask for a better manager. She is so present. She has the residents’ needs and staff needs as a priority.”
An activities coordinator was available to lead activities, special events were held monthly, and a minibus was available for people to attend community outings.
Accidents and incidents aren't always reported to regulators on time, even when they caused harm.
The registered manager did not always ensure incidents were shared with the Care Quality Commission, to ensure duty of candour was followed... There had been several incidents resulting in harm, but the required statutory notifications had not been submitted.
Staff numbers are usually fine but relatives say there are times with too few staff on shift.
we received mixed feedback from people and relatives about staffing levels... a relative added, “I don’t feel there are always enough staff. Sometimes there are plenty and sometimes very few.”
Risk details in care plans aren't always consistent or up to date, like repositioning times for pressure sore risks.
information about risk was not always consistent and several people’s care plans had not been updated to reflect changing needs... people did not always receive support to reposition within the timeframes specified in their care plans.
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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