Last updated: 10 February 2026
"Stable staff team and effective training, but poor management oversight, fluctuating rotas, and unclean premises from no dedicated cleaner hold it back."
We looked at 8 quality statements in safe and identified 2 breaches of the regulations. These were in relation to how the premises had not been kept clean and tidy, the poor management of records and staffing arrangements.
There was a stable staff team in place who had good working relationships with the manager and each other.
Staff rotas had not been organised effectively. Staff numbers fluctuated; most days there were 5 care staff working in the morning. However, every week there was a day when the rota only planned for 4 staff.
New staff completed an induction which included training. This was refreshed and updated regularly and underpinned by spot checks and competency checks.
We identified a breach of the regulations in relation to the management and oversight of the service. Audits were completed but these had failed to identify the areas for improvement.
Activities were arranged and people were encouraged to take part in them. A residents questionnaire showed people were generally positive about the activities although two people had indicated they would like to go out more often.
Care staff have to handle cleaning and cooking duties themselves with no dedicated cleaner, which cuts into time spent with residents.
There had been no cleaner in post since October 2023 and care staff were completing cleaning and cooking duties. Staff told us this impacted on the time they had to spend with people.
Risk records and care plans lack detail at times, like no specific plan for diabetes or totals on daily fluid charts.
Care plans were not always developed for people with specific health needs. For example, the registered manager told us one person had diabetes. There was no care plan in place specifically in relation to this need.
Audits get done but miss key problems like record gaps and cleaning issues, with no proper action plans to fix them.
Audits were completed but these had failed to identify the areas for improvement identified at this assessment. Action plans had not been completed to support progress where needed.
AI Generated
Last inspected: September 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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