Last updated: 9 February 2026
"Staff feel supported with good training, but safety risks and weak management oversight need attention."
Management of risk was not always effective, placing people at increased risk of harm. This was a breach of Regulation 12 (Safe care and treatment).
Staff told us they felt supported in their roles and were complimentary of the registered manager.
There was enough staff to meet people's needs.
We reviewed the provider's training matrix and found the majority of staff had completed appropriate training.
Systems were not always robust enough to demonstrate effective monitoring of the quality of the service. This was a breach of Regulation 17 (Good governance).
We observed activities taking place during the inspection. On 2 of the 4 units at Oakview we saw good interactions and participation in activities. However, this was not reflected on all units.
Safety risks like fire hazards for smokers and oxygen users, plus health issues like diabetes, aren't always fully assessed or followed by staff.
People were not adequately protected from fire safety risks. We found some people smoked and several people used oxygen... Individual risk assessments were either not in place, or not detailed enough... staff did not always follow people's risk assessments.
Quality checks and audits miss gaps in care plans and risks, so management oversight feels weak.
some of the audit systems in place had failed to identify the concerns we found as detailed in the key questions safe and effective.
Staffing is just adequate with enough people to cover needs, but no details on low agency use or stable teams.
There was enough staff to meet people's needs.
AI Generated
Last inspected: May 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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