Last updated: 10 February 2026
"Caring, kind staff create a positive culture with engaging activities, but ineffective quality monitoring, training gaps and poor risk management hold it back."
Risks to people had not always been sufficiently assessed, planned and managed... one incident was not promptly notified to CQC.
People and relatives described the staff as 'caring', 'kind' and 'friendly'. Relatives told us there was a positive culture at the service.
Managers told us they were experiencing challenges in employing and retaining suitable staff, however, they confirmed there were enough staff in number to meet people's needs. Regular agency staff were used to support staffing numbers.
Staff had not received sufficient or appropriate training, in line with best practice guidance, to safely support people with distressed behaviours.
The provider's quality monitoring processes had not been effective in identifying shortfalls found during this inspection.
The activities co-ordinator was very keen to promote and organise activities... quizzes, skittles, exercise to music and going outside for a walk or just having a chat.
Managers' quality checks missed problems like poor risk management and care planning.
The provider's quality monitoring processes had not been effective in identifying shortfalls found during this inspection.
Staff training has gaps, especially for safely handling distressed behaviours.
Staff had not received sufficient or appropriate training, in line with best practice guidance, to safely support people with distressed behaviours.
Risks like falls, skin damage and distressed behaviours are not always well managed or recorded.
Risks to people had not always been fully identified and assessed. This included risk relating to distressed behaviour, anticoagulant medicines and skin pressure damage.
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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