Last updated: 10 February 2026
"Good safety, training and activities, but poor leadership and a blame culture between teams hold it back."
Systems, processes and practices safeguarded people from risk of abuse. Risks to people were assessed, monitored and managed... Medicines were managed in a safe way. Effective infection prevention control measures were in place.
We identified concerns in relation to the culture of staff at the service. Staff teams did not always engage well with each other... poor communication and team working... poor staff attitudes, communication breakdown and a blame culture.
The provider used a dependency tool to calculate the staffing levels required and the provider ensured the staffing levels were maintained... used regular agency staff.
We saw that an ongoing schedule of training was in place... Staff had received training to meet people's specific needs, for example, epilepsy, care of percutaneous gastronomy tubes and diabetes.
The provider had failed to operate effective systems and processes and provide consistent and effective leadership... breach of Regulation 17(1).
The provider had a varied activity schedule whereby people could participate if they wish... observed people with sensory needs being supported with therapeutic lights and textured activities... minibus for regular outings.
Managers have oversight problems and some staff do not feel supported or safe to raise concerns with them.
some staff told us they did not feel supported by the management team and the provider. There were systems... however, some staff told us they did not feel safe raising their concerns within the organisation.
Teams do not always work well together, with poor communication and a blame culture between rehab and care staff.
Staff teams did not always engage well with each other. For example, there was poor communication and team working between the rehabilitation staff and the care staff. We observed poor staff attitudes, communication breakdown and a blame culture.
Ongoing recruitment means they rely on regular agency staff to cover shifts.
Recruitment was on-going, in the meantime the provider used regular agency staff.
AI Generated
Last inspected: January 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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