Last updated: 10 February 2026
"Staff feel valued and supported by an approachable manager, but weak safety practices and recruitment shortfalls hold it back."
The service did not always have a proactive and positive culture of safety based on openness and honesty. They did not always listen to concerns about safety and did not always investigate and report safety events. Lessons were not always learnt... incident forms of adverse events had not always been completed.
Staff told us they enjoyed their roles. Staff told us they were valued and supported in their roles; the service had a culture of seeking continuous improvement to ensure people’s needs were met.
The service’s recruitment process had not always been followed. Two out of three files we looked at did not contain the correct information required. Audits of recruitment files had identified shortfalls, but there was no evidence this had been addressed.
The provider informed us 92% of staff had completed mandatory safeguarding training, however staff told us they were unsure who to report concerns to externally and only identified concerns could be shared with the registered manager.
Without exception, people and their relatives told us the manager was approachable, comments included: “Things have improved under [manager’s name]”, “You can see for yourself the manager is everywhere, always available and ready for a chat.”
The service had recently increased the variety of activities on offer for people, their relatives and the local community. The manager told us Sway Place were in the initial stages of a project with Dementia UK and stated, “I am going to introduce the butterfly activity"
Risk assessments are often missing or incomplete, so staff lack clear guidance on keeping people safe from things like choking or flammable creams.
Risk assessments, or guidance, was not always in place to help mitigate risks to people in relation to potentially flammable creams, or the risk of choking. This meant staff were not provided with sufficient information about how to support people safely.
Recruitment files miss key checks, meaning you can't be sure new staff are fully vetted or have the right skills for the job.
The service’s recruitment process had not always been followed. Two out of three files we looked at did not contain the correct information required. Audits of recruitment files had identified shortfalls, but there was no evidence this had been addressed.
Staff training has gaps like incomplete medication checks signed off anyway, and uncertainty on who to report safeguarding concerns to outside the home.
When located, 1 competency check viewed was not complete but was signed off by the provider... staff told us they were unsure who to report concerns to externally.
AI Generated
Last inspected: May 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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