Last updated: 10 February 2026
"Not enough staff especially overnight leading to rushed care, big gaps in basic training like moving and handling, infection control and safeguarding, plus ineffective management."
Safeguarding Score:1 Although people’s relatives told us they felt their loved one was safe, during our assessment we identified incidents of a safeguarding nature which had not been identified by the service nor reported.
Workforce wellbeing and enablement Score:1 The provider did not care about and promote the wellbeing of their staff. Regular team meetings were not in place.
We observed, and some relatives told us, they did not feel there were enough staff to provide safe and person-centred care to people, particularly overnight. A person told us ‘They are run off their feet’.
We viewed the training record for the service and found that not all staff had received training in key areas such as moving and handling, infection prevention and control and safeguarding adults. Out of 13 care staff on the training matrix for the service, only 3 had completed the Care Certificate.
Governance and oversight was ineffective. The management team failed to complete effective audits and quality assurance processes to ensure care provided was safe, effective and responsive to people’s needs.
There was a lack of meaningful activities provided for people to engage them. We observed people sitting for extended periods with little interaction or stimulation.
Staff numbers are too low especially at night, so you end up rushed and unable to give unhurried care.
Some people’s relatives felt staffing levels overnight were too low, which matched our findings... “They do need more staff, they are run off their feet”. Another persons relative told us “I do have concerns at night”
Big gaps in basic training like safe moving and handling, infection control, and safeguarding leave you unsupported in key tasks.
not all staff had received training in key areas such as moving and handling, infection prevention and control and safeguarding adults. Out of 13 care staff... only 3 had completed the Care Certificate.
Safeguarding issues not spotted or reported, and risks like choking or falls not managed properly.
we identified incidents of a safeguarding nature which had not been identified by the service nor reported to the local authority safeguarding team or to CQC... people assessed as being at risk of choking to be left unsupervised whilst eating
AI Generated
Last inspected: November 2024
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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