Last updated: 10 February 2026
"Staff feel supported with regular meetings and supervisions plus good refresher training, but staffing shortages, unsafe medicines handling, and poor management support hold it back."
Notifications about safeguarding concerns were not always made in a timely manner to the local authority and CQC... Where it was needed for two staff signatures... only one staff signature was being recorded... A legally required register was not in place for recording these medicines.
A staff member said 'Team meetings and supervision have been more regular. It’s about every month, have a one to one, able to share any concerns and all recorded. It’s very supportive. [Registered manager] really listens and is considerate.'
The rotas we viewed from 2 to 15 June 2025 showed the registered manager having to undertake caring duties as there was not enough staff to cover the shifts.
Staff had undertaken refresher training in topics relevant to their role. Since the last assessment, staff had received training in fire safety, support planning, and senior staff attending a safeguarding refresher.
The provider had not invested in the registered manager to manage the service effectively and safely with further learning and development which was a continued concern from our previous assessment.
The choice of activities available to people within the service had not changed since our last assessment... In a review record... suggested options were, ‘Cutting, sticking, colouring...’ In their comments... 'I am not a child anymore.'
Not enough staff on shifts, so sometimes only one carer covers everything and the manager has to do hands-on care too.
The rotas we viewed from 2 to 15 June 2025 showed the registered manager having to undertake caring duties as there was not enough staff to cover the shifts.
Medicines not handled safely with missing second staff signatures and no records for strong drugs.
Where it was needed for two staff signatures to be recorded when a person took their medicine, only one staff signature was being recorded... Only 1 staff member was signing for these medicines. A legally required register was not in place.
Provider fails to support the manager properly, so risks and governance issues keep piling up.
The provider had not invested in the registered manager to manage the service effectively and safely... Governance systems and audits had not significantly improved to identify or address the concerns.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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