Last updated: 10 February 2026
"A positive staff culture with some training completed, but poor management oversight, unsafe recruitment and delayed safeguarding reports hold it back."
The registered manager and provider did not always share concerns quickly with the local safeguarding authority which increased the potential risk people would not be protected from the risk of abuse in a timely way.
Staff raised concerns over staff deployment in the mornings and told us they were too busy at times. Staff told us communication needed to be improved.
Staff were not always recruited safely. We reviewed staff recruitment files. There were no records of some staff having provided any references and one staff file did not include their full employment history as required.
Staff had undertaken training to complete their role. However, we observed staff’s understanding of supporting people with diabetes needed to be improved so staff knew more about supporting diabetics with healthy eating. Some staff still needed to complete training in learning disability and autism.
Management oversight needed to improve to drive forward the quality of the service and standards of care. People’s care was not being effectively monitored.
A new activities coordinator had started in post a couple of weeks prior to the inspection. They were still in the process of settling into the role and working with people to establish what group and one to one activity they wanted to undertake.
Leaders do not monitor care well or drive improvements, missing chances to fix issues from staff feedback.
Management oversight needed to improve to drive forward the quality of the service and standards of care. People’s care was not being effectively monitored.
Recruitment missed checks like references for some staff, and people say there are not always enough staff especially in the mornings.
There were no records of some staff having provided any references and one staff file did not include their full employment history as required... one person told us, “The staff are lovely but there is not enough of them.”
Safeguarding alerts are not reported quickly to authorities, and risks like skin sores or high blood sugar are not handled well.
Safeguarding incidents were not always reported to the local authority in a timely manner... Risks for people were not always mitigated as far as reasonably practicable. For example, where people had pressure injuries... protocols... for where people with diabetes had high blood sugar... were not able to evidence these were followed.
AI Generated
Last inspected: July 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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