Last updated: 9 February 2026
"Staff feel well supported with enjoyable community outings, but night staffing shortages and weak management oversight are major concerns."
Leaders did not understand their regulatory responsibilities to ensure incidents and events happening in the service were appropriately reported to CQC and other stakeholders.
Staff told us they felt well supported, particularly by the deputy manager who was consistently based at the service.
We identified there was consistently only 2 staff on shift at night time, which would not be sufficient numbers to respond in the event of an emergency such as a fire, due to the level of support each person required.
We also identified that only 1 of the 2 staff on shift at night time had completed medicines management training, this did not ensure sufficient numbers of medicines trained staff were on shift at night.
The service did not have sufficient oversight from the registered manager or provider. Whilst regularly present at the service, the service relied heavily on the experience and capabilities of the deputy manager.
People told us they liked living at the service, were fond of the staff and enjoyed regularly accessing the local community, as well as going on outings and spending time with their relatives.
Not enough staff at night to handle emergencies safely, and only one knows how to give meds.
We identified there was consistently only 2 staff on shift at night time, which would not be sufficient numbers to respond in the event of an emergency such as a fire, due to the level of support each person required. We also identified that only 1 of the 2 staff on shift at night time had completed medicines management training
No permanent manager giving strong oversight, service relies too much on the deputy.
The service did not have sufficient oversight from the registered manager or provider. Whilst regularly present at the service, the service relied heavily on the experience and capabilities of the deputy manager.
Poor handling of safety issues like not reporting incidents or fixing known risks such as hot water.
Leaders did not understand their regulatory responsibilities to ensure incidents and events happening in the service were appropriately reported to CQC and other stakeholders. Risks in relation to water temperatures exceeding safe ranges, increasing the risk of scalds or injury were known to the provider, identified on their own internal audits and checks but had not been addressed
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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