Last updated: 10 February 2026
"Stable staffing, good training and a supportive team culture, but safety issues like unreviewed incidents and restrictive practices need attention."
Incidents of distressed behaviour and self-injurious actions not always reviewed or shared with safeguarding team, restrictive practices used without rationale, medicines records incomplete; regulatory breach.
Staff felt supported by management, said 'we work well as a team' and were confident to speak up about concerns.
There were enough suitably qualified staff to support people safely, staff confirmed 'we are never short staffed', and recruitment checks were safe.
Staff received trainings like safeguarding, IPC, medicines handling, STOMP, with regular supervision and competency reviews.
Staff described registered manager as approachable and supportive but governance systems were not robust enough to identify restrictive practices or ensure timely safeguarding referrals.
Staff supported community activities like horse riding, bike riding, beach trips, college, shopping, and skills like laundry and kitchen tasks.
Some incidents where people got upset or hurt themselves were not checked by managers or reported to safeguarding, and staff restricted choices without proper reasons.
Where incidents identified self-injurious behaviours, some of these incidents had not been shared with the appropriate professionals, such as the safeguarding team. This placed people at increased risk of harm.
Managers missed spotting problems like unreviewed incidents, restrictive practices, and gaps in equipment checks until the inspection.
Governance systems were either not in place or robust enough to ensure incidents were being managed safely and shared with other professionals, such as the safeguarding team.
No activities coordinator or special creative programmes, so the role is mostly personal care plus basic outings and skills practice.
People were supported to engage in a wide range of activities. These ranged from activities such as horse riding, bike riding and trips out to various places, such as the beach or parks.
AI Generated
Last inspected: December 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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