Last updated: 9 February 2026
"Staff feel valued and supported in a positive team culture, but training gaps in fire safety and unreliable safety processes hold it back."
The service was in breach of legal regulation in relation to infection prevention and control... Systems for recording incidents, accidents, and safeguarding concerns were not always used effectively to support learning... gaps in some health and safety checks such as fire drills and legionella checks.
Staff felt valued and supported by the registered manager... Staff told us that they felt supported at work and that the workload was manageable... morale had improved and spoke of a culture of working together as a team.
We observed staffing levels were sufficient to meet people’s needs including 1 to 1 hours... However, recruitment checks... gaps in employment were not always explored... interview records did not always show that responses were explored in sufficient depth.
records showed gaps remained in key areas of training needed to meet people’s changing needs, including fire safety and end of life care. Only one member of staff had up to date fire marshal training.
The provider was in breach of legal regulation in relation to good governance. The registered manager did not always receive the support they needed from the provider... Their last recorded supervision was dated 14 March 2023.
people chose how to spend their day at home, in the community or at a local day centre where they had access to a range of activities such as gardening and cooking. People were supported by staff to understand and manage risks... such as cooking, using appliances and accessing the community.
Training has gaps in key areas like fire safety and end of life care, so staff might not feel fully equipped for all situations.
records showed gaps remained in key areas of training needed to meet people’s changing needs, including fire safety and end of life care. Only one member of staff had up to date fire marshal training.
Safety processes like infection control and fire checks are not fully reliable, which could make the job feel riskier.
The service was in breach of legal regulation in relation to infection prevention and control... gaps in some health and safety checks such as fire drills and legionella checks.
Recruitment checks miss things like gaps in work history, so new staff might not always be the best fit right away.
Recruitment checks such as DBS, sponsorship documents, and references were obtained, but gaps in employment were not always explored... one applicant’s written response to a safeguarding scenario was incomplete and demonstrated limited understanding.
AI Generated
Last inspected: November 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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