Last updated: 10 February 2026
"Mixed staff support, but not enough staff on duty, missing key training and managers not spotting problems leave major gaps."
People were not protected from safeguarding risks in a timely manner. Where risks had been identified, in some cases, risk assessments did not identify how to support the person.
Staff gave mixed views about the support they received. Some staff said they felt unsafe when supporting individuals because they did not have the right skills.
Staff said they did not feel there was enough staff to meet peoples need. We observed there to be a lack of staff and found there to be a large deficit in support hours being put into the service.
Staff training records showed that staff were supporting people without the training required to support them safely. Where people must have rescue medicines for their epilepsy, not all staff had received the correct training.
Governance systems failed to identify improvements needed. Where required improvements had been identified, lessons learnt were not shared widely.
People did not leave their home over a period of several days.
Not enough staff on duty with big shortfalls in hours, leaving care workers stretched and unable to take residents out.
We observed there to be a lack of staff and found there to be a large deficit in support hours being put into the service. This directly impacted peoples care and staff wellbeing.
Staff missing key training for seizures, restraints and complex needs, so they feel scared and unprepared on shift.
Staff training records showed that staff were supporting people without the training required to support them safely. One staff member said, 'I would not have a clue how to support people with a seizure.'
Managers not spotting problems through audits or sharing lessons from incidents, so the same risks keep happening.
The management team did not complete regular audits and, as a result, could not capture the improvements that needed to be made in the service.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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