Last updated: 9 February 2026
"Staff training is up to date and activities engage residents well, but poor culture, safety lapses and low night staffing hold it back."
Whilst robust risk assessments were in place, we were not assured these were being followed due to concerns we found during our assessment. The environment was not always safe, and we found some people had access to items identified as potentially causing them harm.
We found some evidence of a poor culture within the service. Some staff we spoke with were unhappy, and spoke at length about poor partnership working between themselves and the leadership team at the service.
We had concerns there would not be enough staff on shift at night in the event of an emergency. Whilst our observations showed there were enough staff on shift, the staffing levels were not reflective of normal practice.
Staff had completed training in line with their role which was up to date.
We received mixed feedback from staff in relation to the leadership at the service. One staff member said the leadership team had created a poor culture, and they were unable to speak up without fear of retribution from the registered manager.
People’s relatives felt their loved ones were encouraged to lead fulfilling and varied lives... They go to the shop and chooses a meal deal and they go to the park, staff extend the trip, they try to do different things.
Staff feel scared to speak up to managers because of a closed culture and tensions in the team.
Some staff who contacted us felt unable to approach the service directly for fear of repercussion.
Night shifts do not have enough staff if an emergency happens.
One relative said at night they have three staff in the bungalow for ten people, when things go wrong never enough staff.
Staff are not always following safety plans so people can access harmful items like gloves or wires.
For one person with a history of ingesting a balloon, we found significant amounts of disposable gloves freely accessible within their bathroom.
AI Generated
Last inspected: April 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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