Last updated: 10 February 2026
"Staff feel supported and valued by managers, but inadequate staffing, serious safety risks and lack of meaningful activities hold it back."
The service was in breach of legal regulations in relation to people’s safe care and treatment, safety of premises and equipment, the ways people’s medicines were managed and staff recruitment.
Staff felt positive about the managers and working at the service... They felt supported, treated fairly and looked after by the managers. Staff confirmed they had some staff team meetings... but We were not always assured the provider, the management team and staff were working together to ensure the risks of a closed culture were minimised.
Safe and effective staffing Score:1 The provider did not always make sure there were enough qualified, skilled and experienced staff. They did not always make sure staff received effective support, supervision and development.
The training matrix showed some staff had to complete different topics related to support for people with specific needs. However, our observations during the site visit demonstrated none of the staff acquired skills and knowledge from these training sessions.
The provider and the registered manager did not demonstrate they had robust quality assurance systems and governance processes which operated across all levels of the service.
During our visit we observed little engagement between staff and people in any meaningful activities.
Staff numbers and skills do not meet what people need, so you end up sending people to their rooms alone instead of supporting them properly.
People who had to have one-to-one hours of support, were spending time alone.
Serious safety risks like choking are not handled right, with staff ignoring guidance on meals.
People with a known risk of choking were not always supported in line with guidance from Speech and Language Therapy (SALT). We observed staff placed a whole chocolate bar in front of the person and briefly left the table.
Training does not work because staff do not use the skills they learned when supporting people.
The training matrix showed some staff had to complete different topics... However, our observations during the site visit demonstrated none of the staff acquired skills and knowledge from these training sessions.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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