Last updated: 10 February 2026
"Staff received strong training and enjoyed good morale in an approachable culture, but safety risks like choking were not always managed and management missed key oversights."
We observed one person who was at risk of choking being left alone with food, when their care plan stated staff should be with them whilst eating; one person did not have a DoLS application made which put them at risk.
One staff member said, '[The provider] is awesome, they are so open and friendly. They are so approachable.' Another said, 'good staff morale, everyone gets on.'
There were enough staff to support people; provider used scheme where agency staff could transition to permanent.
Staff confirmed they received training in specific health conditions; staff had been supported to gain professional qualifications, as well as their standard training.
Systems were not effective at ensuring all building-related safety measures were in place and all omissions and areas for improvement were identified; action largely prompted by inspection.
People were able to partake in activities of their choice and go out in the community; observed pub lunch and independent activities.
Managers missed key oversight like submitting incident notifications and spotting mental capacity gaps until inspectors raised them.
The provider had failed to notify us of an incident involving the police and a safeguarding referral... Systems had failed to identify that one person did not have all the necessary mental capacity assessments in place.
Staff did not always follow risk care plans, like leaving someone at choking risk alone with food, and missed legal protection paperwork for restrictions.
we observed one person who was at risk of choking being left alone with food, when their care plan stated the person should have staff with them whilst eating. One person had not had a DoLS applied for, despite it being considered necessary.
Staffing levels are okay but depend on some agency workers to fill shifts.
The provider used a scheme where agency staff who had worked in the service could transition to become permanent members of staff.
AI Generated
Last inspected: May 2020
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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