Last updated: 9 February 2026
"Staffing shortages left too few carers on duty who also had to cook and clean, the manager had no time for oversight or training, and safeguarding concerns went unreported properly."
The registered provider did not demonstrate a clear understanding of their responsibilities to report safeguarding concerns. They had not notified the local authority, police or Commission without delay following a significant safeguarding event.
Staff were not confident in who and when they should report safeguarding concerns. The most recent safeguarding concern was not reported to the provider for 2 days.
On the first inspection visit we found there were insufficient staff on duty to meet the needs of people. From the hours of 11.15am to 4pm, 1 member of care staff was on duty to provide support to 5 service users.
Staff working at the service had received limited training and no supervision. Staff had completed safeguarding e learning, but records showed this was overdue for refreshing.
The registered provider had no oversight of the service. The registered provider confirmed that due to staffing shortages they had no capacity to complete managerial duties such as oversight of the care files, completing audits or arranging staff training or supervision.
Staffing shortages in the service which meant people were not always able to access the community or take part in activities that they enjoyed.
Not enough carers on shift, often just one for five or six people, and carers have to cook and clean too.
From the hours of 11.15am to 4pm, 1 member of care staff was on duty to provide support to 5 service users. No domestic staff were in post, and these tasks were now completed by care staff. In addition, there was no cook available Friday to Sunday.
Manager too busy covering care shifts to oversee the home, do audits, or arrange supervisions.
Due to staffing shortages they had no capacity to complete managerial duties such as oversight of the care files, completing audits or arranging staff training or supervision.
Safeguarding concerns not reported quickly or properly by staff or manager.
Staff had limited understanding of what to do to help ensure people were protected from the risk of harm or abuse. The registered provider did not demonstrate a clear understanding of their responsibilities to report safeguarding concerns.
AI Generated
Last inspected: February 2024
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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