Last updated: 10 February 2026
"Good training and a positive culture, but oversight gaps and unclear safety procedures need attention."
Staff were unclear about... safe evacuation procedures; management staff had not always followed processes... following a serious incident.
Staff spoke positively of the management team and told us they were confident to approach them; overall culture... empowering and inclusive.
When we looked at the rotas around the time of the inspection there was a heavy reliance on agency staff; small number of agency staff used to cover shifts.
Staff received... specialist courses such as acquired brain injury... Training was individually targeted at care certificate level or above; staff competencies regularly checked.
Quality monitoring checks... had not always been effective in identifying areas that required improvements; breach of Regulation 17 (Good Governance).
People had personalised activity plans based on their individual rehabilitation needs; encouraged... to take part in a range of community-based leisure activities.
Leaders have oversight gaps like ineffective monitoring and confusing records.
We asked several times for additional information... the information was unreliable and at times confusing... This was a breach of regulation 17 (good governance).
Some safety rules like fire plans and checks after accidents are not always followed properly.
Staff were unclear about the process around safe evacuation procedures... management staff had not always followed processes that had been introduced following a serious incident.
Staffing is adequate but relies on agency workers to cover shifts.
When we looked at the rotas around the time of the inspection there was a heavy reliance on agency staff... small number of agency staff... to cover shifts.
AI Generated
Last inspected: October 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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