Last updated: 10 February 2026
"A proud supportive team with stable staffing, but basic audits and missing risk plans weaken oversight."
Staff understood how to safeguard people from abuse... Medicines were administered and stored safely... People’s risks were managed well, minor gaps in documentation addressed during inspection.”
Staff told us they were proud of how the people’s independence had improved. A staff member commented, “It is a good team, we all work well and have the same goal.” Managers are supportive of staff, I feel listened to.”
The provider made sure there were enough qualified, skilled and experienced staff... A family member said, “Staff know (relative) well, staff have been consistent, there is not a high turnover.”
Staff had been safely recruited and provided with the appropriate training to ensure they could do their jobs well. Staff were trained to provide safe care.
The management team were available daily to ensure support was in place for both people and staff. Staff told us managers were approachable and that they led with an ‘open door policy’.
People were supported to follow their interests and were also given the opportunity to try new activities... Activities were tailored to each person’s interests, with a dedicated staff member working with them... The Program Facilitator for the service was passionate.”
Managers do checks and audits but they are basic and not always recorded fully, so oversight isn't as strong as it could be.
Governance systems needed to be formalised, and records of all checks needed to be in place... audits were basic in detail so were not always an effective check of standards.
Learning from accidents and mistakes happens through talks but isn't always written down consistently for the team.
the review and debrief activity after an incident was inconsistent... Staff told us they had informal discussions about what went wrong... this was not always evidenced.
Some risks like diabetes and handling money didn't have full written plans or assessments at the start of inspection.
some areas of risk did not have a care plan in place or a risk assessment... people who had been identified of being at risk of diabetes did not have a care plan... no associated risk assessment had been developed.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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