Last updated: 10 February 2026
"Staff feel well supported with regular supervision and sufficient staffing, but no activities programme and weak governance hold it back."
There were inconsistencies between paper care records and the electronic care planning system. Behavioural support plans varied in detail and contained insufficient guidance.
Staff told us they felt well supported. Staff had access to regular supervision and team meetings. They told us they felt able to feedback and make suggestions.
Staffing levels were sufficient to meet the needs of people using the service.
There was no effective system of governance in place and quality assurance systems were not embedded within the service. The registered manager did not analyse accidents and incidents.
No activities, engagement programmes, or creative approaches described; staff noted activities had to be pre-planned due to time constraints.
No activities programme or creative stuff mentioned, so the job is mostly routine personal care.
Staff told us that there were sometimes challenges in ensuring everyone received individual attention, within the hours commissioned, and explained that activities often had to be pre-planned.
Managers do not analyze accidents or share lessons with the team to stop repeats.
Incidents were reviewed and signed off by the registered manager, but no analysis was completed with a view to identify patterns and trends. There was limited evidence that lessons learnt were considered and shared with the team.
Risk plans do not always match up and behaviour guides lack enough detail for staff.
There were inconsistencies between paper care records and the electronic care planning system. In addition, behavioural support plans varied in detail and contained insufficient guidance about how to support people effectively in different situations.
AI Generated
Last inspected: November 2021
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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