Last updated: 9 February 2026
"Positive staff culture, but weak leadership, staffing shortages and safety shortfalls hold it back."
We identified continued shortfalls with medicines, infection prevention control and safe environments... medicines were not secured appropriately... dirty mattresses and furniture... call bells... not always connected or within reach.
Staff spoken with across all units said they were able to speak up, share views and make suggestions and felt these would be listened to. Staff spoke positively about the culture in the service.
We received mixed feedback from staff regarding staffing levels... on the other 2 units... they felt a risk to the service was there was not enough staff to interact meaningfully with residents.
Staff had received mandatory training, although we identified keys areas where staff had not completed training to meet people’s specific needs. For example, supporting people with anxious behaviours and privacy and dignity. Not all staff had received supervisions and appraisals.
There was a peripatetic manager in post during our visit, a new manager had been appointed... We identified shortfalls with... leadership and governance.
Staff told us they felt people would benefit from more activities within and outside of the home and this was an area which needed much improving... currently recruiting 2 activity staff members.
No permanent manager in place, just a temporary one, and oversight misses safety risks and care plan issues.
There was a peripatetic manager in post during our visit... The systems for governance and oversight had not always been effective in identifying the service’s shortfalls.
Not enough staff on some units, causing long waits for hoist help or personal care and less time for chats with residents.
We observed a person waiting for a long period of time to receive support with a hoist transfer, despite inspectors prompting staff on 3 occasions... staff felt a risk... not enough staff to interact meaningfully with residents.
Safety problems like unclear medication instructions, dirty mattresses, unsecured medicines, and call bells out of reach or broken.
PRN protocols did not always offer the required information... we saw 2 people had dirty mattresses and furniture... medicines were not secured appropriately... call bells... not always connected or within reach.
AI Generated
Last inspected: August 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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