Last updated: 9 February 2026
"Staff gave positive feedback about management, but serious safety gaps, inadequate training and weak oversight hold it back."
Systems were not robust enough to demonstrate safety was safely managed, placing people at risk of receiving unsafe care and support. This was a breach of Regulation 12 (Safe care and treatment).
We received positive feedback from the staff team about the management of the service.
Prior to employment of overseas workers, the registered manager had failed to check and record their Right to Work on the Governments website.
Staff had not received the appropriate training, support and professional development as is necessary to carry out their role effectively. This is a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Staffing.
Management did not have adequate oversight of the service and the provider lacked robust and effective governance systems to monitor the quality and safety of the service and improve care delivery.
Staff had started to support people to develop daily living skills. We saw a person helping the cook in the kitchen to make a crumble. However, this was ad hoc rather than a planned approach.
Staff only get basic online training and lack skills for mental health support, handling distress and de-escalation.
limited knowledge around mental health; they had not received training in associated and best practice areas such as positive behaviour support, de-escalation, break away techniques and physical intervention.
Serious safety gaps in risk plans, fire safety, infection control and incident handling put people and staff at risk.
The provider did not always assess risks to ensure people were safe. Staff did not always mitigate identified risks... Systems were not robust enough to demonstrate safety was safely managed... breach of Regulation 12.
Management has weak oversight and no strong systems to spot problems or drive improvements.
Management did not have adequate oversight of the service and the provider lacked robust and effective governance systems to monitor the quality and safety of the service and improve care delivery.
AI Generated
Last inspected: December 2023
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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