Last updated: 9 February 2026
"Stable long-serving staff and positive team culture, but governance gaps with incomplete audits and weak risk assessments hold it back."
Proactive learning culture from medication errors by changing shifts and procedures with no further errors, good safeguarding, but risk assessments lacked robust strategies for falls and scalding.
Staff said 'I like working here... staff are lovely... we’re all a good team... help each other out', internal award scheme, felt valued and supported.
Stable core team of long-serving staff, no agency use, stable bank team for absences, rotas appropriately put together, relatives said plenty of staff around.
Records of all completed training, regular supervision, competency checks for medication, up-to-date safeguarding and MCA training, increased face-to-face training.
Leaders were visible, knowledgeable and supportive, staff told us they felt well supported, but governance had gaps with incomplete audits and poor oversight of care plans.
Designated activity coordinator with monthly planners, armchair exercises, church services, music, encouraging joining activities, wide range reflecting preferences.
Managers are approachable and supportive but checks on paperwork like care plans and audits aren't fully sorted yet.
Governance, management and sustainability Score: 2 ... poor oversight of the service and day-to-day operations.
Risk guides for staff miss detailed steps sometimes for falls, moving people, or hot water burns.
risk assessments were not always robust, individualised, and did not document written strategies to mitigate risks of falls ... Risk assessments did not contain documented processes for staff to ensure water was an appropriate temperature.
Only standard training and supervision with no specialist courses or funded qualifications mentioned.
Staff completed appropriate training specific to their roles ... regular supervision with management ... records of all completed training.
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