Last updated: 9 February 2026
"Staff get good training and feel valued in a positive culture with enough staffing, but management checks miss safety issues and record problems."
We noted additional information about some people's risk of choking was conflicting to their risk assessment. This could cause confusion amongst staff... for people who were prescribed a variable dose of their PRN medicines, there was not always guidance to demonstrate how much should be given.
The culture at Russets had improved since the last inspection and was positive. Staff felt respected, supported and valued by senior staff which supported a positive and improvement-driven culture.
The numbers and skills of staff matched the needs of people using the service. One relative told us, "Staff have time for [Person's name] and spend time with him. There is always someone [staff] there."
People were supported by staff who had received relevant and good quality training in evidence-based practice. This included training in the wide range of strengths and impairments people with a learning disability and or autistic people may have, including communication tools and positive behaviour support.
The provider had a variety of quality assurance processes in place which included a range of audits. However, these had failed to identify all the shortfalls we found. This included records relating to risk and the MCA, concerns in relation to the safety of the environment and how people were supported to achieve their goals.
People were supported to participate in their chosen social and leisure interests on a regular basis. Staff told us, "We do a lot of activities here. It's lovely." People had enjoyed various outings. Staff planned events and days out based on people's preferences.
Managers checks miss some record problems and safety issues, so improvements take too long.
Quality assurance processes had not identified all the concerns in the service and where they had, enough improvement had not taken place.
Risk info in care plans sometimes conflicts and some medicine amount instructions are unclear for staff.
We noted additional information about some people's risk of choking was conflicting to their risk assessment... for people who were prescribed a variable dose of their PRN medicines, there was not always guidance to demonstrate how much should be given.
Only basic outings and events like trips to football or shopping, no special activity programmes or coordinator to vary the work.
People were supported to participate in their chosen social and leisure interests on a regular basis... various outings. Staff planned events and days out based on people's preferences. For example, two people had wanted to go to an Abba tribute night, another attended a football match.
AI Generated
Last inspected: February 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp