Last updated: 10 February 2026
"Good safety practices and recruitment plans, but manager resignations causing instability and high agency use at night hold it back."
Safeguarding incidents were investigated, and learning implemented where appropriate, however not all staff were confident in their knowledge... for one person learning following an incident had not occurred which led to further distress... agency staff who worked at the service did not have a competency assessment completed before administering medicines.
Staff feedback included increased stress levels, in part from working alone at night... The last survey showed staff felt supported, but at the same time 6 staff would not recommend the service as a place to work... Some staff told us they felt a lack of motivation due to the stress of work.
Leaders told us there was a high use of agency staff due to current staffing levels at night, however regular agency staff were employed and there was an ongoing recruitment plan to reduce this need... We reviewed staff recruitment records and found not all contained the required information.
Staff completed safeguarding training; however, 2 staff were not up to date with this training... We reviewed staff training records and found not all staff had completed a specialist training course... epilepsy was covered in staff’s induction, however not all staff had refreshed this knowledge.
During the inspection process, the registered manager resigned leading to the service being managed by the regional support manager. Plans were in place for this to continue until a new manager had been recruited... the second manager to resign within 6 months.
People and their relatives told us the lack of drivers employed by the service, impacted their ability to engage in meaningful activities outside of the home... Some goals were focused on promoting people’s independence, such as cleaning their bedroom and using the toilet, and did not include information about people’s aspirations and life goals.
No permanent manager after two recent resignations, causing instability and less visible leadership.
the registered manager resigned leading to the service being managed by the regional support manager... the second manager to resign within 6 months. Staff feedback... included a lack of visibility from senior leadership.
High use of agency staff at night with only one worker for four residents, plus gaps in recruitment checks.
high use of agency staff due to current staffing levels at night... night only one staff member was on duty for the 4 people... not all staff recruitment records were being completed.
Gaps in staff training with some missing updates on safeguarding, specialist courses, and epilepsy refreshers.
2 staff were not up to date with this training [safeguarding]... not all staff had completed a specialist training course... not all staff had refreshed this knowledge [epilepsy].
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Good
Direct feedback from current and former employees

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