Last updated: 10 February 2026
"Staff feel supported with strong activities and programmes plus enough staff, but out-of-date training and weak safeguarding hold it back."
Safeguarding systems and processes were not robust to ensure people were always protected from the risk of abuse. Medicines were not always managed safely.
Staff felt supported by the registered managers. One staff member told us, 'The manager is very approachable. They communicate with us constantly.'
Enough staff were deployed to maintain people's safety and meet their individual needs. Staffing levels were determined by the number of people using the service and their individual needs.
We were not assured staff training was up to date. The provider's training matrix indicated several courses had either not been completed or were out of date. For example, staff had not completed training in dysphagia or stoma care.
The registered managers and staff were not clear about their roles and responsibilities. CQC notifications were not consistently submitted in line with regulatory requirements.
The provider used a 'Dialectical Behaviour Therapy' (DBT) model with people which had significantly helped them to learn new skills. People had individual activity plans.
Staff training is not up to date for key areas like safeguarding and care for swallowing or stoma needs.
We were not assured staff training was up to date. The provider's training matrix indicated several courses had either not been completed or were out of date. For example, staff had not completed training in dysphagia or stoma care.
Safeguarding issues are not always spotted or reported properly.
Safeguarding concerns were not always reported by the provider as required. Training in safeguarding was not up to date and not always effective.
Managers have unclear roles and oversight systems miss important problems like medication errors.
The registered managers and staff were not clear about their roles and responsibilities. Systems and processes had not consistently identified the issues found during the inspection.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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