Last updated: 10 February 2026
"Positive culture where staff feel valued and supported with good training and enough staff, but gaps in quality checks and staff recruitment files hold it back."
People told us they felt safe... Risks to people's care and safety was assessed and regularly reviewed... The registered manager had a system in place to review accidents and incidents each month.
There was a positive and open culture at the service... Staff told us they felt respected, valued and supported by the registered and deputy managers. '[Registered manager] is really hands on.'
There were enough staff on shift to meet people's care and support needs. People told us there were enough staff to support them. One person said, 'I never have to wait too long for attention.'
Staff had been provided with training to ensure they had the relevant skills and knowledge... Staff received an induction... shadowing... enrolling staff to complete a NVQ Level 3 in health and social care.
The provider's systems and processes to assess, monitor and improve the quality and safety of the service needed further development... gaps in information within some staff recruitment files such as employment history.
Per 2019 comprehensive inspection: activities co-ordinator... taken [them] to the local dementia choir... walks and out in the garden... parties... out shopping... Zoo.
Managers have gaps in quality checks and staff files like missing job history, so oversight isn't strong enough for top scores.
we found gaps in information within some staff recruitment files such as employment history and conflicting information within some people's care records... learning had not been introduced or embedded into practice.
Staff numbers are enough with no long waits, but recruitment records have gaps that mean checks aren't fully reliable.
gaps in information within some staff recruitment files such as employment history... updating DBS checks for staff, an audit on staff files.
Only standard training and induction with NVQ support, no specialist programmes or regular documented supervisions mentioned.
The registered manager held informal discussions and supervisions with staff, however, these were not documented. Following the inspection, action was taken to address this.
AI Generated
Last inspected: January 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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