Last updated: 10 February 2026
"Enough staff and positive culture among workers, but missing risk plans putting people in danger and no fixes from last inspection hold it back."
Detailed risk assessments were not in place... This resulted in this person leaving the service unsupported by staff during their stay putting them at high risk of potential harm.
Staff spoken to were approachable and positive about the support they offer. A staff member told us they, 'Like to spend as much time with the customers as they can'.
Sufficient staff were deployed on the day of the inspection. Staff told us they have enough staff to support the people safely and ensure their needs are met.
Gaps were identified on the services training matrix... some required training not being completed covering practical percutaneous endoscopic gastrostomy (PEG) feeding tubes.
Appropriate and timely action had not been taken as a result of our last inspection at this service, and some of the same areas highlighted still require improvement. This is the second continuous inspection where we have found the domain of Well Led not Good.
The service has developed a sensory room which can be used by all people.
Risk plans are missing or weak, so people have left without staff knowing and got into danger.
one person's care plan described risks of leaving the service without staff knowing. No detailed risk assessments had been created... This person had left the service unsupported during their stay. This placed them in danger.
Managers have not fixed problems from the last inspection, so the same safety issues keep happening.
At this inspection we found the same areas we had highlighted in our previous inspection, evidencing a lack of progress had been made following our last inspection.
Gaps in training for key tasks like feeding tubes and hands-on medication checks.
Gaps were identified on the services training matrix as part of this inspection... The lack of staff competency checks placed them and the person at risk... physical observations of practice had not been completed for all staff.
AI Generated
Last inspected: August 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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