Last updated: 9 February 2026
"A supportive culture and varied activities programme, but staffing shortages leave the separate Lodge building unsupervised at times."
We identified some areas of medicines management required improvement. We also found some people did not always have risk assessments in place for specific health conditions. This meant staff may not have always had relevant information about signs of deteriorating health.
Staff felt confident to raise concerns and felt able to make suggestions for improving the service. Staff told us there was a supportive learning culture at the service, and they learned from incidents together.
We observed the ‘Lodge’ which is a separate key coded building was left without any staff for up to 15 minutes at points during our assessment.
We looked at 3 people’s recruitment records and found recruitment processes were in place... however we found a high number of staff had not completed falls training.
The registered manager and senior staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.
The activity co-ordinator told us about the full programme of activities people living at the service have access to... We observed staff supporting people with regular visits to a local café and pub. Volunteers from a local music group specialising in performing for people with dementia provided musical reminiscence experiences. We also observed a local playgroup visiting the service.
Staffing levels drop off in the evenings and the separate Lodge building gets left empty for 15 minutes at times, making it hard to keep everyone safe.
We observed the ‘Lodge’ which is a separate key coded building was left without any staff for up to 15 minutes at points during our assessment. On one day of the inspection, we were left alone in the ‘Lodge’ and a person living in the ‘Lodge’ had to open the door for us to leave.
Medication safety has gaps like missing plans for as-needed painkillers and no risk checks for flammable skin creams.
On a few occasions we found PRN protocols were missing... We also found there was not a risk assessment for 1 person who required a cream containing paraffin which can be flammable.
Many staff are missing their falls training, leaving gaps in handling common risks.
a high number of staff had not completed falls training.
AI Generated
Last inspected: May 2025
Management Quality
Well-led: Good
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp