Last updated: 10 February 2026
"Staff feel able to raise issues in a receptive culture, but no registered manager, major training gaps and insufficient skilled staff undermine safety."
We identified potential concerns with two people's pressure care and one person who was at risk of dehydration, which the provider's own monitoring systems had not identified.
Staff, including new staff, told us they felt able to raise issues and make suggestions and found the provider receptive.
The provider had not ensured there were sufficient numbers of competent and experienced staff who had received appropriate support, training, supervision and appraisal.
Although staff numbers had increased, staff were not provided with all the training and support they needed to carry out their roles safely. Systems to monitor staff development were not robust and some new staff lacked skills and knowledge which placed people at potential risk of harm.
At the time of our inspection there was no registered manager in post.
Not covered in this focused inspection on Safe and Well-Led; previous comprehensive report from 2019 exceeds 2 years old.
No permanent manager in post, so leadership oversight relies on the area support manager.
There was no registered manager or deputy manager in post as they had left the service since our last inspection in April 2022. The area support manager had taken on the day to day management of the service since the last inspection.
Big gaps in staff training, with new starters getting none and missing key areas like first aid, safe moving and epilepsy.
Four new staff were on duty of the first day of our inspection. None had received any training ... No staff member had received training related to epilepsy and seizures ... Some staff had not received first aid training.
New staff on shifts without training or supervision, so not always safe handling risks like choking.
One new staff member was working alone while their colleague took a break. They were supporting six people to have their mid-morning snacks. They were unable to tell us who might be at risk of choking.
AI Generated
Last inspected: October 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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