Last updated: 10 February 2026
"Staff feel valued and listened to with many long-serving employees, but safeguarding failures, overworked staff without rest, and poor training put this at risk."
We found the provider failed to consistently recognise what safeguarding meant and had not recognised or responded appropriately to potential abuse. They failed to carry out robust investigations into these incidents and make appropriate safeguarding referrals.
Staff told us they felt listened to and valued by the management team and they felt they could raise any concerns they had. Staff told us there were happy working for the provider and many staff had been in the service for many years.
We found 1 staff member was working, without a day off for several weeks and this included working long days. We also found that 3 other staff, which included nurses, were scheduled to work excessive hours without the correct length of time between shifts.
The provider failed to ensure all staff received appropriate training to meet the needs of people and their known health conditions. This included mental and physical health conditions with a long-term impact on people’s care.
The provider did not have clear responsibilities, roles, systems of accountability and good governance. They did not act on the best information about risk, performance and outcomes.
There was an activity co-ordinator working in the service Monday to Friday who developed an activity plan. The plan did not demonstrate that the hobbies, interests and preferences of all people living at the service had been considered to meet their individual needs.
Staff do not have clear guidance on risks and safeguarding concerns are not reported properly, putting everyone at risk.
Risk assessments lacked clear guidance for staff to follow about how the risk should be managed. This included a lack of clarity on how to manage risks relating to people’s specific health conditions.
Recruitment misses key checks like police records and references are not verified, and staff work too many hours without rest causing tiredness.
Police checks had not been carried out by the provider for 1 staff member prior to them working voluntarily in the lead up to them being employed. References obtained had not always been verified as completed by the intended referee.
Training is basic online modules with no checks to make sure staff understand or can use it for complex needs like dementia.
Basic on-line training had been provided on health conditions, without any follow up by the provider to assess staff’s understanding and learning. No assessments had been carried out to assess the effectiveness of staff learning in key areas.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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