Last updated: 10 February 2026
"Staff benefit from useful training and feel supported, but inconsistent leadership fails to reduce safety risks from repeated incidents."
This system was not always working effectively to reduce risks to people. For example, one person had been involved in a pattern of incidents when they became upset or frustrated... all reasonable actions had not been taken to reduce the significant risks.
Staff described these as being helpful for them in their roles and they felt well supported. We also saw that the provider supported staff to develop their skills and promoted staff within the organisation to more senior roles.
The number of staff available was based upon people's assessed needs and schedules. There were enough staff available to meet people's support needs and to enable them to have some choice in how they spent their day.
Staff we spoke with told us they had benefited from the training provided; they told us it had helped them to be more effective in their role. One staff member told us, "The training was really useful. I learnt so much."
The registered managers have a responsibility to assess, monitor and improve the quality and safety of the service provided for people. This leadership had been inconsistent.
Some people were supported to have active lives in their community. One person had started going out for two evenings a week, to a local pub, cinema and watch a local football team. Other people had been on walking holidays, clothes shopping, camping and eating out.
Risks from repeated incidents putting residents and staff in danger weren't always properly assessed or reduced.
one person had been involved in a pattern of incidents when they became upset or frustrated. During these times they placed themselves and staff at risk of significant harm... all reasonable actions had not been taken to reduce the significant risks from this pattern of incidents
Managers are in place but leadership has been inconsistent on overseeing risks and care quality.
Leadership of the service had been inconsistent in ensuring all aspects of the service provided for people was appropriate and of high quality.
Some big decisions for residents weren't always made following mental capacity rules properly.
The service was not always operating within the principles of the Mental Capacity Act (2005). Not following the principles of the MCA when making significant decisions on a person's behalf was a breach of Regulation 11
AI Generated
Last inspected: July 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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