Last updated: 10 February 2026
"A supportive culture with low staff turnover and good supervisions, but staffing levels drop too low when the manager steps away and safety misses risk assessments for intoxicated residents."
Several people living at the service had a dependency on alcohol and would on occasions return to the service intoxicated. The service did not have risk assessments in place to guide staff on what to do when this happened.
Staff told us they enjoyed working at the service and there was a low turnover of staff. We reviewed supervision records and staff told us they received meaningful supervisions and felt supported by the registered manager.
Staffing levels did not always meet the needs of the people living at the service, including the allocation of hours for the register manager to carry out their responsibilities... when they were carrying out managerial roles, the staffing numbers were reduced to 2 staff.
Although most staff were up to date with all mandatory training, 50% of staff had not completed Positive Behavioural Support training.
The registered manager knew the service and the people they were supporting. However, they did not have the protected time to concentrate on the governance of the service. Additionally, the providers internal quality assurance systems had not identified issues found during this assessment.
The service encouraged and promoted people accessing services within the local community. For example, people told us they went to the local church and some people accessed the local collage.
Not enough staff at times, especially for one-on-one chats, because the manager counts in the staffing numbers and it drops too low.
People told us they felt there was not always enough staff, especially if they needed support from a staff member on an individual basis... the registered manager remained part of the allocated staffing numbers. This meant when they were carrying out managerial roles, the staffing numbers were reduced to 2 staff.
Missing risk assessments for things like residents coming back drunk, so staff react on the spot without guidance.
The service did not have risk assessments in place to guide staff on what to do when this happened. The provider did not recognise the impact this had on other people living at the service. Staff were reactive when incidents happened.
Half the staff have not done Positive Behavioural Support training, so the team lacks full skills for handling behaviours.
50% of staff had not completed training in Dementia Awareness and Positive Behavioural Support.
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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