Last updated: 10 February 2026
"Staff get thorough training and feel supported in an open culture, but leadership gaps in reporting incidents and a small overstretched team hold it back."
Medicines were stored and administered safely... As required medicine protocols needed review, otherwise medicines were safely stored and administered to people.
Staff were supported by an open and transparent culture. Staff told us that the registered manager was very approachable and understanding.
People, relatives and staff told us that there were enough staff on duty, staff rotas informed us that all shifts were covered. However, the pool of staff available to cover shifts was small and vulnerable to unplanned staff absences
Training records showed that staff had completed an induction to their role and essential and specialist training in a range of areas that reflected their job role
The service was not always well led. The provider needed to ensure those in charge in the registered managers absence understood their responsibilities to report notifiable events to CQC.
Staff were proactive in delivering a programme of activities for people... we observed an armchair exercise group that people found funny and chuckled about, and we observed staff sitting with people watching a musical and encouraging people to sing along.
Leadership has oversight gaps like missed notifications of serious falls and no system to track audit fixes properly.
During their recent absence two serious falls had occurred both requiring the people concerned to be admitted to hospital for treatment... The registered manager was aware of the need for these alerts to be made to the Care Quality Commission (CQC) but this had not happened during her absence
Staffing is adequate but the small team gets stretched with some working six or seven long shifts a week when others are off.
the pool of available staff was small, therefore the staff rota showed that during weeks where there was planned and unplanned staff absence, there was an over reliance on a few staff working six or seven 12-hour shifts in one week.
No dedicated activities coordinator so the role involves mostly routine care with staff squeezing in basic group activities like quizzes and exercises.
There was an activities programme but this was no longer facilitated by an activities co-ordinator. The provision of specific staff to undertake cooking, cleaning and laundry tasks had given care staff more time to spend with people.
AI Generated
Last inspected: December 2018
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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