Last updated: 10 February 2026
"Enough staff and good team morale, but weak leadership oversight and delayed safeguarding reports are major concerns."
The provider did not always share concerns promptly... The provider took 14 days to raise a safeguarding concern when they could no longer safely support 1 person.
Staff morale was good, and staff were complimentary about the support they received from senior staff and the registered manager. Staff told us they worked well as a team and helped and supported each other.
People told us they were not kept waiting when they needed support from staff, which is an indicator of effective staffing numbers. The provider’s recruitment procedures were safe.
Staff told us they were up to date with appropriate training which was relevant to their role. However, the provider’s training matrix had not been updated since May 2025 and did not reflect all the training staff had received.
There was a failure by leaders to have clear oversight of the service. By not having the necessary oversight of the service, leaders could not ensure risks were well managed by their staff.
Per 2019 comprehensive inspection: People had access to a minibus so were supported to maintain links with the community... go on outings to places like Sutton gardens. At the Daisy Club... people engaged in conversation, listening to music, and playing various games.
Managers do not review accidents or share lessons learned from them with staff to prevent repeats.
no evidence of learning from accidents, incidents or safeguarding’s being shared with the staff team as a means of reducing the likelihood of recurrence.
Safeguarding concerns take too long to report, like 14 days in one case, and risks are not updated after falls or bruising.
The provider took 14 days to raise a safeguarding concern when they could no longer safely support 1 person. The provider also took 5 days to raise a safeguarding concern when unexplained bruising was found on another person.
Training records were outdated and did not track what staff had completed until after the inspection.
the provider’s training matrix had not been updated since May 2025 and did not reflect all the training staff had received. The registered manager updated the training matrix after our site visit
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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