Last updated: 10 February 2026
"Enough staff to meet needs and a supportive, cohesive team, but weak governance, poor risk oversight, and unreported safeguarding incidents hold it back."
Not all risks relating to people and the environment had been assessed or responded to robustly. Some historic safeguarding incidents relating to 2019 had not been reported to CQC or the local authority.
Staff told us the management team were open and supportive. A staff member said, 'I can't imagine a better management.' The staff team were cohesive and supportive of each other.
There was enough staff to meet people's needs. Staff we spoke with confirmed this. One said, 'We are always sufficiently staffed, we don't really have sickness at all.'
Quality monitoring systems and governance in the service was not effective. There was a lack of clear guidance for staff on how systems should be used.
Managers lack proper audits and oversight of risks and records.
no formal audits or oversight was in place to help monitor and assess potential risks. Whilst some audits and quality monitoring checks were in place these had not effectively ensured issues were identified
Some past incidents where people needed protecting were not reported to regulators or council.
Some historic safeguarding incidents relating to 2019 had not been reported to CQC or the local authority.
Hiring new staff sometimes misses full checks on their past work history.
gaps in employment history had not always been fully explored.
AI Generated
Last inspected: September 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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