Last updated: 10 February 2026
"Staff feel supported in a strong team culture with good training, but poor oversight of incidents and untrained helpers covering one-to-one care are concerns."
There was limited evidence that lessons were learnt... examples where people had experienced multiple incidents of harm or risk of harm such as repeated falls... safeguarding concerns were reported effectively and raised appropriately.
“Everyone looks out for each other, which helps create a safe and supportive environment” and “Everyone works as a team.” Staff told us they felt supported by the management team.
It was not always clear that the dependency tool was effective in maintaining safe staffing levels... auxiliary staff supporting with 1:1 support... not all staff had received the appropriate training to support people with 1:1 support needs.
Staff told us that they felt the training they received at St Peters Court was good. Comments included, “We are encouraged to request additional training whenever needed to improve our skills and knowledge” and “Training is available at all times with E-Learning and face to face training.”
Oversight for accident and incident reporting was not robust and leaders had not always recognised that some incidents required reporting and support from external professionals.
The provider had an activities team in place however; this was only on a Monday to Friday basis which meant there were not always meaningful activities during the weekend.
Helpers sometimes cover one-to-one care without the right training, so shifts can feel stretched.
auxiliary staff supporting with 1:1 support when the care staff are on their breaks... not all staff had received the appropriate training to support people with 1:1 support needs. For example, there were a number of auxiliary staff who had not received training in safety intervention training.
Repeated falls and fights between residents are not always investigated fully to stop them happening again.
repeated incidents of a similar nature had not been fully investigated to demonstrate learning and actions taken... a large number of falls occurring.
Bosses do not always track accidents and incidents well or learn lessons from them.
Oversight for accident and incident reporting was not robust and leaders had not always recognised that some incidents required reporting and support from external professionals.
AI Generated
Last inspected: December 2020
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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