Last updated: 10 February 2026
"Staff feel listened to by managers, but severe staff shortages, unsafe hoist use and overdue training put people at risk."
People were at risk of harm due to unsafe moving and handling practices and only one battery for all 3 hoists with no notification to CQC.
Staff told us the registered manager and other senior staff listened to them but people were scared to report poor care and relatives raised staffing concerns.
We observed a significant lack of staff throughout the whole assessment day. At one point, there was no member of staff on the top floor.
The staff training record identified some training was overdue for some staff. This included safeguarding training, mental capacity act and deprivation of liberty training.
Registered manager had open door policy per relatives but unaware of single hoist battery issue for 5 days and multiple governance breaches identified.
Minimal interaction observed with people sitting alone for 20 minutes; only one instance of bean bag game noted amid routine care observations.
Not enough staff on duty, leaving floors empty and people waiting a long time for help.
We observed a significant lack of staff throughout the whole assessment day. At one point, there was no member of staff on the top floor, where people were confined to their rooms.
Mandatory training overdue on basics like safeguarding and mental capacity for some staff.
The staff training record identified some training was overdue for some staff. This included safeguarding training, mental capacity act and deprivation of liberty training.
Unsafe equipment and moving practices like one hoist battery for three hoists and wrong size slings.
We noted there was currently only one battery for all 3 hoists in the home... operating with just one battery for the previous 5 days.
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