Last updated: 10 February 2026
"New leadership is trying to make improvements, but severe staffing shortages, training gaps, and a closed culture leave staff unsupported."
The service was in breach of legal regulations in relation to safe care and treatment, safeguarding service users from abuse and improper treatment, assessing the risk of, and preventing, detecting and controlling the spread of, infections, and staffing.
There was a closed culture at the service, and a disconnect between leaders and staff. Staff did not feel they received the support they needed to make improvements when issues were identified.
During our assessment, there was not enough staff to meet people’s needs. We observed people needing support from staff and not receiving it, for example during lunch time one person asked to use the toilet and had to wait for 10 minutes.
gaps in training and knowledge of staff... Despite supporting people with epilepsy, most of the staff had not received any training in epilepsy.
There was a new leadership team at the service, who were trying to implement improvements, but had failed to identify and act on the widespread issues.
Not enough staff on duty, so you get stretched thin, breaks go uncovered, and people wait too long for basics like the toilet.
Staff told us, “With being short staffed I get a lot of pressure on me” and “No, I don’t think there is enough staff.”
Big gaps in training for key needs like epilepsy, diabetes, and safe moving, leaving you unsure how to help properly.
only 20% of staff had completed training in supporting people with diabetes, and 37% of staff had completed training in supporting people with Parkinson’s disease.
Leaders miss major problems in audits and don't support staff well, creating a blame culture where you fear speaking up.
Staff told us, “I don’t feel the management team are supporting the staff to the best they could. Morale is low.”
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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