Last updated: 9 February 2026
"A positive culture, regular training and engaging activities programme, but managers' quality checks missed serious safety issues like unaddressed resident falls."
Discussions with the registered provider confirmed they had not taken any action to review the person's risk assessment or take any action to obtain advice or support from any healthcare professionals, to reduce further risk of falls.
We found there was a positive culture shared between staff to promote good outcomes for people. Managers and staff were open and honest... A staff member told us, "I know if I had any ideas about someone's care needs, I could approach (registered manager) and I would be listened to."
On the days of our inspection we observed there were enough care staff to meet people's needs and call bells were answered, so people did not have to wait too long for support.
Per 2019 comprehensive inspection: Staff had regular supervision meetings and a planned annual appraisal... The staff were trained regularly and this was demonstrated by the records provided by the registered manager.
The provider had a quality monitoring system in place to monitor health and safety at the home. This consisted of a set of internal audits. However, these had failed to identify that remedial work identified in the fire risk assessment had not been carried out.
Per 2019 comprehensive inspection: The home had an activities programme and activities co-ordinator who ensured people were involved with any activities that they wanted. One person told us "The activities coordinator comes around and asks what I feel like doing."
Managers' quality checks missed key issues like repeated falls by one resident.
The providers governance systems had failed to... take action after a resident had a number of similar accidents.
They did not update risk plans or get expert help after one resident kept having similar falls.
the provider had failed to act after a resident had suffered a number of similar falls.
Staff numbers are just enough to answer call bells promptly, but nothing about stable teams or spare hands for unhurried care.
there were enough care staff to meet people's needs and call bells were answered, so people did not have to wait too long for support.
AI Generated
Last inspected: June 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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