Last updated: 10 February 2026
"Enough staff and a supportive manager, but no activities programme, gaps in training, and safety lapses hold it back."
Risk assessments were completed... however, these were not always followed by staff... breach of Regulation 12 (Safe care and treatment).
Staff felt the registered manager was supportive and approachable... staff freely approached them if they had any concerns.
Appropriate staffing levels were in place to meet the needs of people in the service. Staff told us there were enough staff to meet people's needs.
The provider had not ensured all staff were suitably trained or supported... Some refresher training was out of date and needed completing.
The provider had failed to complete effective monitoring of the quality and safety of the service... still in breach of regulation 17 (Good governance).
No activities, engagement programmes, coordinator, or creative approaches mentioned; report describes only routine personal care delivery.
Staff training has gaps with some refreshers out of date like safeguarding and fire safety.
Some staffs safeguarding refresher training was out of date. The staff training matrix showed staff were due to complete their fire training in a few days' time.
Staff do not always follow risk assessments and fire drills are overdue.
staff did not remove the hot water urn used to make hot drinks in the lounge as per risk assessment... staff had not completed regular fire drills.
No activities programme or coordinator so the role is mostly routine personal care.
No reference to any activities, engagement programmes, creative approaches, or coordinator in the report.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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