Last updated: 10 February 2026
"Staff feel supported by approachable managers and enjoy innovative community activities, but inconsistent safety practices and training gaps need attention."
Staff assessed risks to people’s health, safety, and welfare... However, they did not consistently implement the actions identified to reduce these risks and overlooked contributing factors. We reviewed falls and found... they did not consistently use these [monitoring devices].
Staff told us they felt supported to carry out their role and were able to raise concerns and suggestions, they were confident their concerns would be heard and acted upon. One staff member told us, “There is support for staff, the office door is always open.”
Most staff felt staffing levels were adequate but felt mornings were busy and rushed. The registered manager told us they over recruited and employed bank staff to reduce the need for agency staff.
Staff were trained in safeguarding... However, some staff lacked knowledge regarding who had a DoLS in place and why and 1 person had a condition attached to their (DoLS), and staff had not been recording evidence.
Staff spoke positively about the registered manager and deputy and found them to be supportive and approachable. The manager told us they operated an open-door policy for people, relatives and staff.
People made regular visits to a local school where a book club had been established. Staff worked in partnership with a charitable trust to create an eco-memory garden. The local community were invited to attend a weekly memory café.
Risks like falls not always managed as planned, with monitors not used consistently and safety checks missed.
they did not consistently implement the actions identified to reduce these risks... although staff had identified the need for monitoring devices... they did not consistently use these. We observed some people wearing unsuitable footwear.
Some staff lack full knowledge of mental capacity paperwork, leading to gaps in recording required protections.
some staff lacked knowledge regarding who had a DoLS in place and why and 1 person had a condition attached to their (DoLS), and staff had not been recording evidence to demonstrate that this condition was being met.
Staff numbers are adequate overall but mornings feel rushed and busy, with bank staff sometimes covering.
Most staff felt staffing levels were adequate but felt mornings were busy and rushed. One person told us there was not enough staff at mealtimes.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Good
Direct feedback from current and former employees

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