Last updated: 10 February 2026
"Staff receive helpful training and feel supported by managers, but serious choking risks, poor medicines management, and minimal activities are major concerns."
We found serious concerns regarding the safe management of the risks from choking for some people that the provider had not identified. Medicines support was not always managed in line with the provider’s procedures.
Staff told us they felt supported by the managers to provide care to people. A staff member told us that when someone in the team needed support with a personal matter, '[The registered manager] goes out of their way to support them and sort things out.'
We received mixed feedback about the staffing levels. Relatives felt there were enough staff but some staff thought there needed to be more of them on shift to be able to meet people’s needs in a timely manner and spend meaningful time with them.
Staff received an induction, training and regular supervision to support them in their roles. They completed training in a variety of areas, including learning disability and autism awareness. Staff said they found training helpful.
The governance systems in place such as regular audits had failed to ensure a consistently safe and good service was delivered. The systems had not identified and addressed the concerns we found during our assessment.
Records of the individual activities taking place with people showed these were minimal and repetitive. We saw times during the day when people were not supported to be meaningfully engaged with activities that were appropriate to their interests, abilities and sensory needs.
Serious risks like choking not spotted or managed well, plus medication procedures not always followed properly.
We found serious concerns regarding the safe management of the risks from choking for some people that the provider had not identified. Medicines support was not always managed in line with the provider’s procedures.
Staffing keeps people safe but staff feel stretched and can't spend enough meaningful time with residents.
some staff thought there needed to be more of them on shift to be able to meet people’s needs in a timely manner and spend meaningful time with them. We saw that while there were enough staff on duty to keep people safe, at times people were left unoccupied and waiting for staff.
Few activities so most of the day is routine personal care with little variety or fun engagement.
Records of the individual activities taking place with people showed these were minimal and repetitive. Staff supported people with some things they enjoyed but at times we saw people did not always spend fun and interesting times with staff.
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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