Last updated: 10 February 2026
"Reliable staffing and a positive open culture, but weak leadership and poor safety with missing risk assessments hold it back."
Systems and processes in place to manage risks associated with people's care were not sufficient.
There was a positive and open culture at the service. Staff told us, they could report concerns and talk openly.
Staffing was consistent and staff knew people well so there was no negative impact on people.
The leadership, management and governance arrangements did not provide assurance the service was well-led, that people were safe, and their care and support needs could be met.
The registered manager had put an emphasis on the well-being of people who live at the service, examples of this were doll therapy, people being able to help staff maintain their home with cleaning if they chose to and dog therapy. We were told there was a part time activities co ordinator.
Risk assessments are missing or not detailed enough for dangers like choking, wandering, or hoisting people.
there was also no risk assessment for someone who was identified at risk of choking.
Managers are not spotting or fixing safety issues through audits and oversight.
Oversight and governance systems were not robust in identifying and addressing risks to people.
AI Generated
Last inspected: February 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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