Last updated: 9 February 2026
"Staff enjoy a supportive environment and good training, but poor risk management and safety lapses like faulty window locks hold it back."
The principles of lessons learnt were not always applied effectively. For example, we found window restrictors were not all fitted or maintained to the standard required... Care and treatment was not always provided in a safe way.
Staff told us they felt it was supportive environment in which to work. Staff felt supported to raise any concerns and would feel confident to Whistle-Blow if they felt they needed to.
We observed there were sufficient staff to provide people with the support they needed and what was reflected in their care records.
Per 2021 comprehensive inspection: Staff were positive about the training they were provided with and the support they received. This enabled them to meet the needs of the people they cared for.
The provider's systems had failed to assess, monitor and mitigate risks relating to the health, safety and welfare of service users. Where risks were identified, measures to reduce the risks had not been implemented.
Per 2021 comprehensive inspection: Staff gave us examples of how people were involved in baking. Staff had supported people to do things they enjoyed... This included local walks.
Managers are not fully on top of risks and not acting properly on incidents to prevent repeats.
Systems had failed to effectively assess, monitor and reduce the risks to people using the service. This was a breach of regulation 17
Safety risks like window locks after a past escape and poor planning for trips are not managed well.
we found window restrictors were not all fitted or maintained to the standard required to keep people safe. This was even though there had been an incident where a window restrictor had failed
Staffing is adequate but they use some agency workers to cover shifts.
We looked at 3 agency staff profiles and 3 staff files in relation to safe recruitment.
AI Generated
Last inspected: November 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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