Last updated: 10 February 2026
"Staff feel supported in an inclusive team with regular training and supervision, but safety lapses like ignored risk assessments and incomplete medicine records put people at risk."
We found 2 occasions where staff had not followed people’s risk assessments which put people at risk... records for medicines used to manage some health conditions sometimes lacked detail.
Staff described a supportive, inclusive team culture and valued leadership. Staff felt well supported and respected by the management team.
People were supported by staff who had the right skills. Staff felt they had the right skills to do their role.
Staff received regular training and supervision... including face to face training which considered... autism, learning disabilities, manual handling, safeguarding and interactive/simulation training sessions.
Leadership was visible and approachable. People and staff felt listened to and involved.
People were supported to take part in activities that were meaningful to them, such as attending social groups, or pursuing hobbies. Staff brought sensory items... One person enjoyed the feeling of being on the grass.
Staff twice ignored safety plans which put people at risk, and some medication notes missed details.
We found 2 occasions where staff had not followed people’s risk assessments which put people at risk. records for medicines used to manage some health conditions sometimes lacked detail.
No activities coordinator or specialist programmes, just basic outings, hobbies and sensory activities.
People were supported to take part in activities that were meaningful to them, such as attending social groups, or pursuing hobbies.
Audits and fixes from lessons learned are not always followed through or shared with the team quickly.
there was not always evidence the lessons learnt were embedded into the service in a timely way... where improvements had been identified, there was not always clear action plans or evidence to show actions were embedded
AI Generated
Last inspected: October 2023
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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