Last updated: 9 February 2026
"Stable long-serving staff and a supportive culture stand out, but weak oversight misses gaps in risk assessments and care plans."
Risks were not consistently assessed and measures to reduce risks were not always clearly recorded in people's care plans; one care plan lacked robust information around staff intervention for disinhibited behaviours, another had conflicting information on skin integrity treatment.
Staff were clear on their roles and responsibilities and spoke positively about the support; 'There is a good culture here. The registered manager is very supportive' and 'good teamwork here. The management are approachable and supportive'.
There were sufficient numbers of skilled staff deployed to meet people's needs and keep them safe; most staff had worked at the service for a long time and knew people well, provider used a dependency tool and worked slightly above requirement.
Staff training records reviewed but no details on programmes, qualifications, career development or supervision provided in this focused inspection.
Systems to monitor the quality of the service were not robust to identify all areas of improvement; audits had not identified the lack of robust risk assessments, conflicting information in care plans and gaps in staff recordings.
No information on activities, engagement programmes or creative approaches provided in this focused inspection.
The manager's checks miss gaps in risk plans and care notes, so problems with oversight build up.
audits had not identified the lack of robust risk assessments, conflicting information in care plans and gaps in staff recordings within care records.
Risk plans lack detail on handling upset behaviours or wound care, leaving staff without clear guidance.
Their care plan lacked any robust information around staff intervention and response during these times. A second person's care plan contained conflicting information as to whether a person was being treated for poor skin integrity.
AI Generated
Last inspected: October 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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