Last updated: 9 February 2026
"Well staffed with a motivated team, but absent manager, poor risk assessments, and weak mental capacity training hold it back."
Staff disciplinary processes were ineffective and had exposed people to risk of harm. Risk assessments did not provide staff with sufficient guidance on how to keep people safe.
The staff team were well motivated and dedicated to the people they supported. Staff were complimentary of the deputy manager and told us, “[The deputy manager] is great”. A number of individuals raised concerns about the approach of the provider’s director who they described as, “difficult".
Staff and managers recognised the service was well staffed. Staff comments included, “The service is well staffed”, “We have enough staff” and “We always seem to cover all the shifts”. While managers said, “We have used agency a couple of times to cover nights".
The staff team had only a limited understanding of the requirements of the Mental Capacity Act. None of the service’s leadership team understood the requirements of the Mental Capacity Act (MCA) and associated Deprivation of Liberty Safeguards (DoLS).
The registered manager was regularly absent from the service and told us, “I am here half the time and half the time in Wales.” Staff told us the registered manager was not ‘up to date’ and said, “We all look at [the director] as the boss. No one really looks at [the registered manager] as the boss".
The manager is only there half the time, splitting time with Wales, so leadership and oversight feel unreliable day to day.
The registered manager was regularly absent from the service and told us, “I am here half the time and half the time in Wales.”
Risk assessments lack enough detail to guide you on handling specific risks, and staff misconduct allegations aren't investigated properly.
Risk assessments did not provide staff with sufficient guidance on how to keep people safe. Staff disciplinary processes were ineffective and had exposed people to risk of harm.
Staff and leaders lack proper understanding of mental capacity rules for decision-making, showing gaps in key training.
The staff team had only a limited understanding of the requirements of the Mental Capacity Act. None of the service’s leadership team understood the requirements of the Mental Capacity Act (MCA).
AI Generated
Last inspected: December 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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