Last updated: 9 February 2026
"Staff feel supported with enough skilled workers to deliver care, but risks are not managed promptly and governance systems fall short."
Risks to people were not always planned for or managed in a timely way... 1 person’s risk assessment had not been updated following an incident where they were injured.
Staff told us they felt supported and valued by the management team. Staff were confident senior staff would listen to them.
The provider made sure there were enough qualified, skilled and experienced staff... Staff had enough time to provide people with the care and support they needed.
Staff undertook training to understand about medicines management. Staff’s knowledge and competencies were regularly assessed.
The provider’s governance systems were not always effective. These systems had not enabled them to address the shortfalls in risks we identified during our inspection.
People were supported to enjoy a range of leisure activities, days out and holidays. People were supported to try new activities and do exciting things.
Risk plans are not always updated straight after incidents or changes, so they might miss protecting people properly.
1 person’s risk assessment had not been updated following an incident where they were injured. Another person’s risk assessment provided incomplete information around specific risks.
Leaders do not oversee safety and risks tightly enough, and this led to a governance breach.
The service was in breach of legal regulation in relation to good governance... governance systems were not always effective.
Only standard training with no specialist courses or funded qualifications mentioned.
Although staff had received some training on MCA, the provider had identified the need for more specialised staff training... they were in the process of planning and delivering this training.
AI Generated
Last inspected: April 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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