Last updated: 9 February 2026
"Staff feel well supported in an open culture with good training and varied activities, but management spread across multiple homes misses quality issues like unclean items and record gaps."
Most risks to people's care were assessed and measures put in place to manage these... However, we saw examples of documentation not always being detailed or completed when people required additional support due to displaying distressed behaviour or evidence of monitoring following an incident or physical restraint. Although there was ongoing cleaning happening, we found examples of some areas at the home or objects used by people not being clean.
Staff told us they felt well supported by the management team. There was an open culture within the service. Staff told us that the managers were supportive, that they could raise concerns with them and they were listened to.
Staffing levels were safe. Most areas of recruitment were managed safely but we found examples of additional improvements required such as some staff's employment histories not showing when past jobs had ended and references not being dated.
New staff completed an induction which included training and shadowing experienced members of the team. Staff's knowledge was developed through an ongoing training development programme. Staff were supported by regular supervision.
Quality assurance systems were in place and happening regularly, however these had not always been effective in identifying or addressing in a timely way the issues found at this inspection. The registered manager for Tryfan House was also responsible for the management of another 5 nursing homes.
There was a regular and varied programme of indoor and outdoor activities to promote people's wellbeing and interaction. Activities were mainly overseen by an activities coordinator.
Managers oversee too many homes at once, and quality checks miss problems like dirty cups or care record gaps until inspectors spot them.
The registered manager for Tryfan House was also responsible for the management of another 5 nursing homes and several tasks linked with day-to-day management of the service were delegated. We found examples where management oversight and quality assurance processes were not always effective.
Staff numbers are safe but recruitment records have gaps like missing job end dates and undated references.
Most areas of recruitment were managed safely but we found examples of additional improvements required such as some staff's employment histories not showing when past jobs had ended and references not being dated.
Risk records sometimes lack details on handling distressed behaviour or checks after falls, and there were unclean items like stained cups.
we saw examples of documentation not always being detailed or completed when people required additional support due to displaying distressed behaviour or evidence of monitoring following an incident or physical restraint. Although there was ongoing cleaning happening, we found examples of some areas at the home or objects used by people not being clean.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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