Last updated: 10 February 2026
"Staff receive good training and supervision in a positive culture with engaging activities, but leadership oversight misses safety checks and staffing relies on agency workers."
People told us they were safe, systems were in place to protect people from abuse... Staff understood risks to people's safety and well-being and worked to mitigate these risks... People's medicines were administered safely.
We received positive feedback about the registered manager and the culture of the service... Staff felt confident they could report any concerns to the management team, and they would be addressed.
There was sufficient staff to keep people safe and to meet their needs in a timely manner... Some people needed 1-1 support from staff... which was being commissioned from an agency. We saw agency staff missed opportunities to engage with people.
Staff had the required skills and knowledge... Staff completed regular training, their competency was checked, and they received regular supervision and support... positive feedback from staff regarding their induction and the quality of the training.
The service was not always well-led. Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements: systems had not identified shortfalls in window checks, fire door safety checks and fire drill records.
A wide range of group and individual activities were available... We observed positive interactions between an activity co-ordinator and people... positive feedback about the other activity co-ordinator.
Manager in post but oversight systems miss safety checks and quality issues, so leadership is not fully reliable yet.
systems had not identified shortfalls in window checks, fire door safety checks and fire drill records. We recommend the provider reviews and updates their quality assurance systems.
Staffing is adequate but relies on some agency workers for one-to-one care and there has been staff turnover.
Recruitment was actively underway... Where additional staff were required, staff from the provider's mobile support team were used... Some people needed 1-1 support from staff... commissioned from an agency.
Only standard training and supervision, no mention of specialist courses or funded qualifications.
Staff completed regular training, their competency was checked, and they received regular supervision and support.
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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