Last updated: 10 February 2026
"New management supports staff well with effective training, but risks like falls and diabetes are not fully assessed and activities lack structure."
During our assessment we found people were at increased risk of harm because risks associated with people’s support needs had not always been assessed, monitored or mitigated safely. This resulted in a breach of Regulation 12... People received their medicines as prescribed although improvement was needed in relation to some medicines processes.
People and their relatives told us about some of the improvements in the home since the new manager had started working there. This particularly related to improved organisation of staff, training, cleanliness and staff morale. Staff felt well supported.
Most people and their relatives thought there were enough staff to safely support them and meet their needs... The provider used a tool to determine staffing levels based on people’s needs. We found these were not up to date or accurate for 3 out of the 4 people’s we reviewed.
Effective induction and training processes were in place. The providers training matrix showed staff had undertaken a range of training to enable them to carry out their roles. The manager had recognised staff needed updated dementia training and had implemented this.
A new manager and deputy manager were in place which had a positive impact on the service... Staff told us how positive the changes had been and felt more supported since the new manager and deputy manager had started. 1 staff member said, “The manager is great... I feel valued and supported.”
The atmosphere in the home was unhurried and relaxed and we observed staff had time to sit and chat with people. People also benefitted from joining in with activities they enjoyed, and it was evident this supported their well-being.
Risks like falls, diabetes and distress not fully assessed or managed, leaving gaps in staff guidance.
we found no risk assessment for a person who lived with diabetes. Another person had fallen several times which had resulted in injuries... Some people experienced distressed emotions due to living with dementia. However, they did not have a risk assessment or care plan in place
No structured activities programme or coordinator mentioned, so the role is mostly routine personal care.
People also benefitted from joining in with activities they enjoyed, and it was evident this supported their well-being.
Staffing levels tool not up to date or accurate for most residents checked, and some say staff look busy at night.
The provider used a tool to determine staffing levels based on people’s needs. We found these were not up to date or accurate for 3 out of the 4 people’s we reviewed... 1 person said, “Are there enough staff? Well, that’s debatable, the night staff seem pretty stressed.”
AI Generated
Last inspected: May 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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