Last updated: 9 February 2026
"Staff feel well supported with good training, but weak leadership oversight misses record-keeping issues and safety paperwork is often incomplete."
Risks to people's health and safety were assessed and managed but paperwork was not always up to date. Records were sometimes not fully completed or signed by staff.
Staff were well supported in their roles. They shared positive feedback telling us, 'I get support from management', 'Manager is great' and 'We all work as a team including nights/days.'
People told us they did not always know how many staff were on duty and the rotas showed different numbers of staff each day.
A staff induction and training programme was in place to ensure staff kept up to date with best practice.
The service did not have robust processes in place to effectively assess, monitor and improve the quality of the service. Audit records did not highlight the issues we found with record keeping.
There was evidence of a variety of activities such as, quizzes, trips to the pub, cake decorating, film club, bingo, Saturday bar and the art club.
Leadership has weak oversight so audits miss problems with records and safety checks.
Audit records did not highlight the issues we found with record keeping within the service.
Staff numbers are enough but vary day to day and people do not always know who is on shift.
People told us they did not always know how many staff were on duty and the rotas showed different numbers of staff each day.
Safety records like risk assessments and accident reports are often not up to date or complete.
Some certificates of maintenance could not be found and risk assessments had not been developed for risks such as uncovered radiators that were hot to touch. Records were sometimes not fully completed or signed by staff.
AI Generated
Last inspected: April 2020
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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