Last updated: 9 February 2026
"Consistent staffing and positive staff relationships, but serious safety risks like fires and falls are not managed and training gaps leave staff unprepared."
The service was in breach of legal regulation relating to managing risks to people... Fire risks were not safely managed... Medication was not always safely managed.
Leaders had a positive relationship with staff... One member of staff told us, 'The manager is very good and fair. I have a good relationship with them.'
There were enough staff to provide safe care... consistent staffing without the reliance on agency staff.
Although staff had received safeguarding training, some staff were unable to tell us basic information on how to safeguard people from abuse or neglect.
Leaders did not recognise gaps in their governance and monitoring systems. We found the learning and improvement culture was not robust and embedded.
Not covered in recent targeted inspection on safety and well-led; prior 2018 report too dated.
Risks like falls and fires aren't managed properly, with no falls assessments for some people and fire doors held open by chairs.
There was no falls risk assessment in place for this person... bedroom fire doors propped open by chairs which prevented the door from closing.
Some staff don't know the basics of protecting people from harm even after training, and many have never done fire drills.
some staff were unable to tell us basic information on how to safeguard people from abuse or neglect... some staff had never completed a fire drill.
Managers do audits but they miss big problems like missing risk assessments and medication issues.
audits and checks were being completed, we found these did not always identify and resolve the issues we observed whilst on inspection.
AI Generated
Last inspected: April 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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