Last updated: 9 February 2026
"Enough skilled staff on duty and strong team morale, but overdue safety checks on equipment and fire alarms plus weak governance hold it back."
Safety checks of the environment and equipment had not always been carried out at the required intervals... the last safety check on portable appliances (PAT) expired in October 2024 and fire alarm tests and drills had not been consistently carried out.
Staff had a good understanding of the visions and values of the service; they described good morale and teamwork amongst the staff group at all levels. A member of staff told us, “It’s a great team of managers and staff, and we all get on.”
The provider made sure there were enough qualified, skilled and experienced staff. The staffing rotas showed the right amount of suitably skilled and experienced staff were on duty each day and night.
Whilst staff told us they felt well supported they had not received formal supervision and appraisal in line with the providers staff supervision policy.
The provider had not established consistent and effective governance systems and processes. There was a lack of regular checks and audits to assess, monitor and improve the quality and safety of the service.
Managers are not carrying out regular audits and checks, so issues with quality and safety can go unnoticed.
There was a lack of regular checks and audits to assess, monitor and improve the quality and safety of the service.
Safety processes have gaps like overdue checks on fire alarms and electrical equipment, and incomplete risk plans for health issues like diabetes.
Risk assessments had not always been completed to identify potential hazards and risks associated with certain health conditions some people had such as diabetes and epilepsy... the last safety check on portable appliances (PAT) expired in October 2024 and fire alarm tests and drills had not been consistently carried out.
You do not get regular one-to-one supervisions to discuss your training needs and how to improve.
The providers formal process for staff supervisions and appraisals was not followed to enable staff to discuss and identify any training needs, their performance and areas for development.
AI Generated
Last inspected: May 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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