Last updated: 10 February 2026
"Stable staffing with long-serving team members and a positive culture, but weak management oversight and safety shortfalls like unreported incidents need attention."
staff had not always reported incidents related to choking... shortfalls in medicines management processes... stair gates... not always secure or effectively managed
Staff told us there was an open culture and they felt valued and respected... It's like family here... we all help each other... morale was good
The service had a full complement of staff, many of whom had worked at the service for several years... no staff vacancies... staff told us they felt there were enough of them on duty
Staff gave positive feedback about the training they received... access to additional training... identified champions... train the trainer courses
we were not assured the provider had effective governance systems in place... systems and processes were ineffective and had not identified the shortfalls we found
activities coordinator which enables stimulation and interests 7 days a week... community dementia allotment... library visits... singer on site
Management oversight is weak because quality checks missed problems like unreported choking and medicine issues.
quality assurance processes were in place... systems and processes were ineffective and had not identified the shortfalls we found at this inspection
Safety has gaps like choking incidents not formally reported and medicine storage with wrong temperatures and generic plans.
choking episodes had not always been reported as incidents... shortfalls in medicines management processes and oversight which included inconsistencies noted around temperature monitoring, the use of generic rather than personalised protocols
Some environment risks like unlocked stair gates and cleaning chemical access were not managed well.
we observed the use of stair gates... were not always secure... sluice room was not always locked, which meant that cleaning chemicals were not always safely locked away
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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