Last updated: 10 February 2026
"Staff feel listened to with good training and supervision, but staffing shortages and weak management systems hold it back."
The provider did not have effective systems in place to ensure safe administration of medicines. We were informed of a safeguarding issue which was observed by a relative... No evidence was provided to us to demonstrate this was reported in line with the providers policy.
Staff we spoke with felt able to raise any concerns with the registered manager or the management team. One staff member told us, “I feel able to raise concerns. There are very good at listening”.
People and their relatives told us they did not feel there were always enough staff. We saw staff were rushed throughout our on-site visit. The provider had a system which determined the level of staff needed at the service. This was not regularly updated... Therefore, we were not fully assured that safe staffing levels were in place.
Staff told us they felt they had received enough training to do their roles effectively. Staff received supervision which was appropriate to their role and supported them to develop.
The provider did not have effective systems to monitor and improve the quality of the service. The provider’s systems in place to ensure good governance of the care provided for people were not effective in identifying the concerns found during our assessment in relation to medicines management, care planning, auditing systems, staffing levels and staff files.
Although there was a wide range of activities for people to engage in, these were not always tailored for people with higher support needs. This meant some people were observed to spend long periods of time with little stimulation and movement. Activities were held throughout the day. For example, a live musician, quizzes and religious hymn readings.
Not enough staff at times, so you get rushed and people sit unattended for long periods.
People and their relatives told us they did not feel there were always enough staff. We saw staff were rushed throughout our on-site visit. People were observed to spend large periods of time in the same place and position throughout the day. We observed people being left unattended during mealtimes.
Safeguarding concerns not always reported properly and medication safety systems failing.
We were informed of a safeguarding issue which was observed by a relative. The relative told us this was reported to the home. No evidence was provided to us to demonstrate this was reported in line with the providers policy. The provider did not have effective systems in place to ensure safe administration of medicines.
Management systems weak, so gaps in staffing plans, recruitment checks and overall oversight.
The provider’s systems in place to ensure good governance... were not effective in identifying the concerns found during our assessment in relation to medicines management, care planning, auditing systems, staffing levels and staff files. Staff recruitment files contained large gaps and the provider’s auditing systems failed to identify these.
AI Generated
Last inspected: September 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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