Last updated: 10 February 2026
"Enough staff meet needs and most staff feel supported, but poor quality checks miss risks and no regular supervision holds it back."
Not all risks to people's safety and wellbeing were identified and recorded. Where these were in place, more detail was required as to how the risks posed should be mitigated
Staff told us they felt supported and valued but variable comments included not all staff felt there was effective teamwork and some found the job stressful
The deployment of staff was appropriate and there were enough staff to meet people's needs
All staff employed had received mandatory training and induction but staff had still not received regular formal supervision in line with the provider's policy
Effective arrangements were not in place to ensure robust quality monitoring arrangements were in place. This demonstrated a continued breach of Regulation 17
Managers audits and quality checks miss key problems like missing risk assessments and care plans
Audits needed strengthening... as they failed to pick up the issues identified as part of this inspection. For example, risks for people using the service were not routinely assessed
Risk plans are missing or not detailed enough for things like falls, catheters, and fire evacuation
No risks were identified for 1 person who was admitted... A risk assessment was not sufficiently detailed... There were insufficient fire marshals on duty at each shift
No regular check-in meetings or appraisals for staff even after a year in the job
Staff had still not received regular formal supervision in line with the provider's policy, which stated this should be completed bi-monthly. Staff who had been employed longer than 12 months, had not had an appraisal
AI Generated
Last inspected: February 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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