Last updated: 10 February 2026
"Strong new leadership and positive staff culture with good training, but poor safety management and limited activities hold it back."
Safety risks to people were not always managed well. Managers assessed safety risks to people... The provider and staff working at the service did not always follow Mental Capacity Act 2005 principles. People were experiencing restrictive practice without a clear care plan.”
Staff felt valued by the new registered manager and told us the staff culture had changed and now staff worked as a team and helped each other. One staff member told us, “The staff team get on well, we have a laugh.”
We saw there were enough staff to provide support to people safely. However, we were not assured that people had always received their commissioned support. For example, one person was commissioned to have 2 staff members for 4 hours a day to access the community. We observed a person had not received this support.”
Staff had received appropriate training to ensure they could do their role effectively. A staff member said “We have enough training. There are 31 trainings to complete online, and we have also completed face to face training, Makaton, Non-Abusive Psychological and Physical Intervention (NAPPI), restore 2 and safeguarding.”
Staff told us the new registered manager was capable, compassionate and an inclusive leader. One staff member told us, “The new manager has really done a good job and brought a lot of positiveness into the home, staff are able to speak to her openly.”
The deputy manager told us, “We are getting staff to explore other activities for people to participate in, like the other day we went to Twycross zoo, some people went to the cinema and now people are going to the trampoline park.”
Staff sometimes skip people's full planned one-to-one or two-to-one support hours, like not going out in the rain without offering other options instead.
We observed a person had not received this support. We asked the staff member in charge, and they told us because it's raining the person would not be going for their walk. We did not observe other alternative options to ensure people receive their commission support.”
Restrictions like locked snack cupboards are used without proper checks on whether they are needed or mental capacity paperwork done first.
We observed a snack cupboard to have a lock on and could only be accessed by staff. The provider could not demonstrate the reason for this, who had been involved in the decision making and if this high level of restrictive practice was needed.”
No activities coordinator or structured programme, just occasional basic outings like zoo or cinema trips, so the job is mostly routine care.
However, care plans did not demonstrate if people were given the opportunity to continuously learn new skills and improve their independence. Staff were not able to explain what plans were in place to support people to develop further.”
AI Generated
Last inspected: July 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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