Last updated: 10 February 2026
"Staff feel supported by approachable management, but weak oversight fails to spot and fix safety risks like wandering and medicines."
The provider did not always work well with people to understand and manage risks... some individual risks had not been sufficiently assessed. For example, risks for people prescribed anticoagulants, a person at risk of leaving the service unsupported, and catheter care.
Staff spoke positively of their work and felt supported by the management team. One staff member said, 'I think this is a good organisation. They care.'
Not covered in this targeted assessment; previous comprehensive report from 2018 is over 2 years old.
Not covered in this targeted assessment; competency assessments for medicines mentioned but not overall programmes; previous report from 2018 over 2 years old.
The service had an established registered manager in post, and staff spoke positively of the support they received from management team but provider oversight was insufficient to effectively monitor and address the shortfalls identified.
Not covered in this targeted assessment; no activities or programmes mentioned; previous report from 2018 over 2 years old.
Bosses are approachable and staff feel supported but oversight is not strong enough to spot and fix gaps in risks and incidents.
Provider oversight was insufficient to effectively monitor and address the shortfalls identified. Governance systems were not always effective in monitoring and improving the quality of the service in relation to incidents, individual and environmental risks.
Some risks to people like wandering off, blood thinning medicine, and catheter care are not fully checked, and one wandering incident was not reported properly.
We identified one incident where a person had left the service without support. Not all appropriate actions had been taken in response to prevent a recurrence, and CQC had not been notified, as required... some individual risks had not been sufficiently assessed. For example, risks for people prescribed anticoagulants, a person at risk of leaving the service unsupported, and catheter care.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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