Last updated: 10 February 2026
"Improving staff culture and support, but severe staffing shortages, training gaps and safety lapses hold it back."
Safeguarding Score:2. The appropriate people were not always told of specific incidents. For example, one person... hospital... local authority and CQC were not notified... Two medicine errors were reported.
Feedback from staff... some staff feeling they were not always supported well. A new... interim manager... staff were reporting feeling better supported. A member of staff told us they are optimistic for the future.
Safe and effective staffing Score:1. The service was in breach of legal regulation in relation to the staffing of the service. There was not always enough qualified, skilled, and experienced staff.
Although staff had received training around supporting autistic people, this was not always reflected in their practice. Records shared... showed there had been no specific training around communication for staff.
The service was in breach of legal regulation in relation to the governance of the service. The provider did not always have effective governance systems in place to identify and drive improvements.
Relatives told us... stimulating activities were not always available at the service, including supporting people to go out in the local area as much as they would like. Opportunities were limited.
Not enough staff to cover required one-to-one support, so shifts are too stretched.
on 2 occasions in recent weeks only 1 member of staff was available for 3 people, all of whom should have had their own 1:1 staff member. The manager confirmed this was a combination of staff absence and staff deployment issues.
Training gaps leave staff without full skills for complex needs like autism support or communication.
staff did not understand how to support autistic people in practice, we did not see any use of augmented communication tools... a person who knew Makaton... staff did not know what the signs meant.
Safeguarding lapses and medication errors mean safety reporting is not reliable.
the local authority and CQC were not notified that this person attended hospital because of a possible serious injury... Two medicine errors were reported to us during the assessment period.
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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