Last updated: 9 February 2026
"Supportive approachable managers foster an open positive culture, but staffing deployment for observations and incomplete risk monitoring need attention."
Risk assessments were in place [...] however not all risks to people were being effectively monitored. We found examples where people were not on ABC charts despite having some behaviours which challenge.
Staff told us the management team were supportive and visible on the units.
Staffing levels according to the dependency tool were sufficient however we made a recommendation for staff deployment to be reviewed to ensure there were always enough staff to complete the 15-minute observations required.
The provider had a training matrix which shows good compliance by staff with maintaining their training.
Staff told us '[Registered manager] is very approachable and very supportive to all staff. [...] There is an open culture, the managers doors are always opened'.
On the day of inspection, we saw multiple activities occurring during the day, with 1 on 1 activities, small groups and larger groups all organised.
Staff numbers are okay by their tool but on one unit they sometimes borrow staff from other areas to cover 15-minute checks when on break.
recommendation for staff deployment to be reviewed to ensure there were always enough staff to complete the 15-minute observations required. One staff member told us, 'When we go on break then we have to ask a staff member from another unit [...] It's not ideal.'
Some risks like behaviours that challenge are not fully tracked with missing charts, and weight loss went unaddressed for one person at malnutrition risk.
not all risks to people were being effectively monitored. We found examples where people were not on ABC charts despite having some behaviours which challenge [...] we saw 1 example where someone had lost weight and no action was taken despite their care plan stating they were at risk of malnutrition.
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Good
Direct feedback from current and former employees

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