Last updated: 9 February 2026
"Enough skilled staff, good training, positive culture and engaging activities, but manager absence led to poor safety checks and unmanaged risks."
Risk was not always assessed, monitored and managed. This included risks relating to the spread of infection. Medicines were safely administered and recorded; however, the storage of some medicines was unsafe.
There was a positive culture at the service. People, family members and staff felt included and able to speak up freely. Everybody felt included and empowered; people, staff and family members felt involved by managers and staff in the running of the service and were confident about speaking up.
People received care and support from the right amount of suitably skilled and experienced staff who were safely recruited. Staffing levels were calculated based on people's needs. Staffing rotas were made up of the right amount of suitably skilled and experienced staff to meet people's needs and keep them safe.
Staff were provided with the training and support they needed to carry out their role effectively. All staff were safely inducted into their role. They completed mandatory training and learnt about the expectations of their role. Training for all staff relevant to their role and people's needs was ongoing and the registered manager was monitoring staff completion timescales.
The registered manager was absent from the service for several weeks prior to this inspection and during their absence those deputising did not maintain robust checks on the safety and cleanliness of the environment. There was a lack of provider oversight during the absence of the registered manager to ensure their governance systems were being used effectively to monitor and manage risk.
Staff actively engaged people in a variety of activities. We observed people enjoying art and crafts, singing, dancing and armchair exercises. People and family members felt there were appropriate activities available including trips and gardening club.
The manager was away for several weeks and backups did not do proper checks on safety and cleanliness.
The registered manager was absent from the service for several weeks prior to this inspection and during their absence those deputising did not maintain robust checks on the safety and cleanliness of the environment.
Some risks like infection spread and equipment use were not fully assessed or managed, and medicine storage was unsafe sometimes.
Risk assessments relating to some aspects of people's health, safety and welfare had not been completed and some people's risk management plans did not always provide clear information... the storage of some medicines was unsafe.
Consent forms for care were signed by staff or family without legal power to do so, and some records had confusing info on who could consent.
Consent forms for care were signed on behalf of people by others without the appropriate legal authority and some mental capacity documentation for some people contained conflicting information about people's ability to consent.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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