Last updated: 10 February 2026
"Staff receive good training and feel supported with trust in managers, but basic activities and governance gaps need improvement."
Risk assessments were in place... However further improvements were required as these risk assessments lacked detail... mental capacity and best interest decision assessments were not always in place.
Staff had trust and confidence in the new management team. A staff member said, “I have confidence in them, I have never had better managers”.
Enough trained staff were deployed, and staff received regular supervision and training. On the day of our site visit there were appropriate staffing levels and skill mix.
All staff completed Non-Abusive Psychological and Physical Intervention (NAPPI) training... Staff at all levels felt well supported by leaders, this included receiving appraisals and support to develop.
Leaders were responsive when concerns were raised but improvements were required to the providers governance systems ensuring they had full oversight of the service.
People were able to access the community... Staff supported people to do activities of their choice. For example, when a person requested for a member of staff to support them with going to a local shop they did so promptly.
Governance checks do not yet give full oversight to leaders, so some issues like record keeping slip through.
Improvements were required to the providers governance systems ensuring they had full oversight of the service.
Risk assessments for skin creams lack detail, and mental capacity paperwork was missing for six out of eight people until after the inspection.
Risk assessments relating to the use of emollient creams were not detailed... At the time of the assessment 8 people lacked capacity but only 2 people had MCA assessments in place.
No activities coordinator or structured programme, just basic outings and community trips to vary the day.
People took part in daily activities such as going out... Provider purchased two cars and a minibus to help and encourage people to access the local community.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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