Last updated: 10 February 2026
"Person-centred activities and staff culture, but no permanent manager, recruitment gaps and training shortfalls undermine safety."
Safeguarding systems lacked robust oversight, and restrictive practices were not consistently reviewed... The service continued to be in breach of legal regulations in relation to safe care and treatment.
Staff shared with us that the changes in management over the last couple of years had made them unsure of what they were expected to do as each manager came in with fresh ideas which they did not get time to embed.
Improvements were needed to ensure staff were being recruited safely... There were gaps in recruitment checks and full employment histories were not obtained... This placed people at increased risk of harm.
There were gaps in refresher training such as dysphagia, fire safety, managing signs of distress, health and safety, infection control, medicine administration and nationally recognised autism training. There were also gaps in qualifications such as the Care Certificate.
At the time of the assessment there was no registered manager in place. The service was overseen by the deputy manager who stepped up to be the acting manager.
Activities included art, jigsaws, swimming, and trips to local events. Some people were supported to volunteer and attend clubs, which relatives felt were meaningful and person-centred.
No permanent manager in post and leadership instability from frequent changes makes oversight unreliable.
At the time of the assessment there was no registered manager in place... Leadership instability impacted continuity of care and progress on improvements.
Recruitment checks are incomplete so they might hire unsafe staff, plus reliance on agency workers.
Gaps in recruitment checks and full employment histories were not obtained... Feedback from people’s relatives and professionals raised some concerns in relation to the use of agency staff.
Training gaps in key areas like swallowing difficulties, fire safety, and autism mean staff lack essential skills.
Gaps in refresher training such as dysphagia, fire safety... nationally recognised autism training... gaps in qualifications such as the Care Certificate.
AI Generated
Last inspected: February 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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