Last updated: 9 February 2026
"Staff feel supported with enough on shifts and an approachable manager, but outdated training, overlooked safety risks and ineffective governance checks need attention."
Some risks had not been considered within people's care plan records. For example; one person was at risk due to smoking within their bedroom as well as in outdoor areas.
Staff comments included, 'The manager is really approachable, they are working really hard to bring about change', 'The manager keeps us updated through meetings'
Staff told us there were enough staff on each shift and one commented, 'We all pull together to ensure everyone receives the support that people need.'
A clear training plan was in place to ensure staff revisited all mandatory training due to this not being up to date.
Governance systems in place had failed to identify the concerns we found and whilst regular checks and audits were in place, they were not effective at driving improvement.
People were observed engaging in activities... Comments received from family members included; 'Mum gets involved in painting and playing bingo', 'Father joins in the activities such as Karaoke and afternoon tea'
Mandatory training was not up to date, so a catch-up plan was needed for staff.
A clear training plan was in place to ensure staff revisited all mandatory training due to this not being up to date.
Risks like people smoking in bedrooms were not properly assessed in care plans.
Some risks had not been considered within people's care plan records. For example; one person was at risk due to smoking within their bedroom as well as in outdoor areas.
Checks and audits failed to spot issues like gaps in care plans and safety risks.
Governance systems in place had failed to identify the concerns we found and whilst regular checks and audits were in place, they were not effective at driving improvement.
AI Generated
Last inspected: July 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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