Last updated: 9 February 2026
"Staff feel appreciated and supported with good training, but weak governance, staffing uncertainties and poor risk management hold it back."
The provider had failed to ensure that risks relating to the management of people's complex needs were being effectively mitigated and managed. This placed people at an increased risk of harm and was a breach of Regulation 12
Staff spoke positively about the leadership and management of the service and told us they felt appreciated and supported in their role
neither the registered manager nor the owners of Stoke View were able to tell us how many one to one or two to one hour's people were funded for as part of their individual packages of care. This meant they could not be assured they had sufficient staff available to meet people's assessed needs
The provider monitored staff training on a training matrix. The training matrix identified staff had received training in a variety of subjects. For example, safeguarding adults, medicines administration, first aid, infection prevention and control, learning disabilities, epilepsy and Autism awareness
Governance systems were either not in place or undertaken robustly. This was a breach of regulation 17 (Good Governance)
People were able to choose how they spent their time and were supported by staff to take part in activities and pursue their interests
Managers cannot assure staffing covers all the funded one to one support hours residents need
neither the registered manager nor the owners... were able to tell us how many one to one... hours people were funded for... could not be assured they had sufficient staff
Risk assessments are inconsistent and missing for key needs like epilepsy
There was no care plan or risk assessment in place regarding the management of the person's epilepsy or seizure activity
Governance systems are not robust and miss issues like poor risk management and notifications
Systems and processes had failed to identify concerns and shortfalls we found during this inspection... Issues included concerns with regards to the management of risk, staffing, management of people's monies, MCA and DoLS
AI Generated
Last inspected: September 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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