Last updated: 10 February 2026
"Staff report good morale and feel supported, but big gaps in training and stretched staffing with agency reliance hold it back."
Risk management shortfalls including unassessed restrictions and medicines issues: 'restrictions put in place that were not appropriately assessed or recorded' and 'incidents when paracetamol containing products had been given within the safe 4-hour time interval'
Staff report good morale and support: 'Staff morale and culture of the service was good' and 'You never feel on your own with anything'
Mixed feedback with staff and relatives reporting stretched levels and agency reliance: 'Staffing level is below par' and 'More full-time staff needed and less agency, especially at weekends'
Shortfalls in key mandatory training: 'some staff had either not completed or updated training in some key areas such as person-centred care, moving and handling, first aid, risk assessments, preventing falls, pressure ulcer prevention, incontinence, mouth care matters, dementia, deprivation of liberties (DoLs), mental capacity act (MCA) and fluid and nutrition'
Manager described as approachable and supportive by staff but governance shortfalls and oversight failures identified: 'provider’s oversight and governance failed to ensure systems and processes identified the improvements needed'
Big gaps in staff training with many missing updates on basics like safe lifting, first aid, dementia care, and mental capacity rules.
there were shortfalls in some key training areas such as person-centred care, moving and handling, first aid, risk assessments, preventing falls, pressure ulcer prevention, incontinence, mouth care matters, dementia, deprivation of liberties (DoLs), mental capacity act (MCA) and fluid and nutrition
Staff numbers often too low especially afternoons and weekends, relying on agency workers.
I feel the staffing levels can improve. Sometimes when staff are assisting with service users in the bedrooms and in the afternoon can be difficult” and “The staffing level is below par.” and “More full-time staff needed and less agency, especially at weekends
Risks not managed well, like bedroom alarms added without checking residents capacity or agreement, and some meds given too close together.
where bedroom alarms had been put in place to monitor movements of people, we saw these had not been assessed or documented appropriately or involved the people living at St Lukes” and “for 2 people incidents when paracetamol containing products had been given within the safe 4-hour time interval
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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