Last updated: 10 February 2026
"Staff feel listened to and positive about management, but major gaps in fire safety training and inaccurate audits weaken oversight."
analysis for themes and trends and the actions taken in response was not evident. Anomalies in data and information did not give assurances that oversight of safety was robust.
Staff gave positive feedback about the management of the service and felt informed and listened to.
staff training records indicated that 28 members of staff had not completed ‘fire safety’ training or a refresher course in the subject.
Governance and oversight processes were not robust. The registered manager had a series of audits and checks in place which they, and senior members of staff, completed however we identified that there were inaccuracies in the audits and checks completed.
Over 25 staff are behind on fire safety training, which is a key safety must-have.
staff training records indicated that 28 members of staff had not completed ‘fire safety’ training or a refresher course in the subject.
Manager's audits and checks have mistakes and inconsistencies, so oversight feels unreliable.
there were inaccuracies in the audits and checks completed. There were also inconsistencies between audits and the information within them.
No review of injuries or accidents to spot patterns and make improvements.
an analysis of injuries was not completed to identify any potential themes and trends.
AI Generated
Last inspected: June 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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