Last updated: 9 February 2026
"Staff feel supported in a positive culture with good training, but no registered manager, weak governance and safety lapses like unsafe storage hold it back."
We observed a failure to follow national safety guidance for the safe storage of food/fluid thickening powder... We observed three oxygen cylinders stored in a person’s wardrobe alongside items of their clothing. There was not an effective process for checking... patient safety alerts.
Staff felt supported by managers and senior leaders. They told us it was a good place to work with good support systems. 'Everything changed with the new manager. We are more communicative, more understanding, more laughing, more teamwork.'
We received mixed feedback about staffing. Some people did not feel there were enough staff, particularly at weekends and mealtimes... Staffing levels reflected the planned rota. There was enough staff to support people.
Staff were positive about their induction and training and said it provided them with the skills and knowledge to undertake their role. Staff undertook regular training to ensure their skills and knowledge were up to date.
The service did not have a manager registered with the Care Quality Commission (CQC)... The manager had applied to register with CQC, and their application was being processed. Governance systems... were not robust to have identified concerns.
People told us there were activities and they had a booklet... Staff supported people with gentle exercises... encouraged people to participate in social activities such as singing... 'We do quizzes and crosswords together.'
No permanent manager approved by the regulator yet, so governance missed issues like unsafe storage.
The service did not have a manager registered with the Care Quality Commission (CQC)... Governance systems and processes were in place... These were not robust to have identified concerns found during this assessment.
Staffing is adequate but gets stretched at mealtimes and weekends, causing long call bell waits, with some agency staff.
Some people did not feel there were enough staff, particularly at weekends and mealtimes... ‘There’s less staff at the weekends and you wait longer.’... mainly agency staff.
Lapses in safe storage of oxygen cylinders and thickening powder, plus missed safety alerts.
We observed several tubs of thickening powder... that were not stored safely... We observed three oxygen cylinders stored in a person’s wardrobe alongside items of their clothing... not an effective process for checking the implementation of patient safety alerts.
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Good
Direct feedback from current and former employees

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