Last updated: 10 February 2026
"Training and activities show some positives, but staffing shortages with no night staff trained for seizure medicine, unauthorised restraints and weak management hold it back."
between June and July 2025 we found a minimum of 8 incidents where staff had recorded the use of unauthorised physical intervention and restraint... we were required to prompt the provider and registered manager to make safeguarding referrals on multiple occasions.
An anonymous survey completed by the provider in July 2025 also showed mixed feedback... some staff expressing concern about defensive reactions, favouritism and fearing negative consequences if they spoke up.
rotas showed a minimum of 8 occasions in July 2025 where there had been no staff member trained to administer this on shift between 7pm and 7am.
audits in May and June 2025 identified shortfalls in staff training. Insufficient action had been taken to address this at the time of our inspection.
At the time of our inspection, the registered manager had just begun a performance improvement plan, following concerns identified by the provider after an incident at the service while the registered manager was on leave.
records between 18 July and 01 August 2025 showed 2 people had not been supported to go out in this time, 2 people had been supported out once, and another had gone out with staff 3 times.
Not enough staff on shifts, including nights with no one trained to give seizure medicine, making care unsafe.
rotas showed a minimum of 8 occasions in July 2025 where there had been no staff member trained to administer this on shift between 7pm and 7am.
Staff used unauthorised restraints and did not report safeguarding issues, even after prompts during inspection.
between June and July 2025 we found a minimum of 8 incidents where staff had recorded the use of unauthorised physical intervention and restraint... we were required to prompt the provider and registered manager to make safeguarding referrals on multiple occasions.
Manager on performance plan and missed major issues shown in internal reports, so leadership oversight is weak.
the registered manager had just begun a performance improvement plan... records showed they had reviewed some of the incidents of concern, and many of our concerns were noted in internal reports shared with them in May and June 2025.
AI Generated
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp