Last updated: 10 February 2026
"Staff get good training and people access activities, but high staff turnover, unreliable agency workers, and weak management oversight hold it back."
There was not always a clear oversight of trends of incidents... Guidance for staff about the risks for people was not always up to date... Risk assessments in relation to emergency evacuation... were not up to date.
Feedback from staff was mixed. Some staff told us there were tensions in the staff team and some staff were not happy in their role which impacted on the atmosphere at the service. One staff member said, 'Some staff just stand back when there are incidents. A lot of staff attitude is to not get involved. We have always been a good team but not at the moment.'
The service did not have enough staff employed... they were not able to consistently provide this support as they did not have enough staff to do so... high level of staff turnover. The service used agency staff to fill in shortfalls... sometimes agency did not arrive for their arranged shift or they were late or left early.
Per 2019 comprehensive inspection: Staff continued to have the training and skills they needed... such as Makaton sign language, autism and nationally recognised training... person specific workshops... regular supervision and appraisals.
Governance processes were not always effective. There was a system of audits in place. However, auditing had not always led to improvements.
Per 2019 comprehensive inspection: People were supported to access scheduled activities such as attending day centres, sensory activities, going shopping or on holiday. People also had access to unscheduled activities.
Not enough permanent staff and high turnover mean heavy use of agency workers who sometimes do not show up, leaving shifts short.
The service did not have enough staff employed... high level of staff turnover. The service used agency staff to fill in shortfalls in the rota. However, they told us sometimes agency did not arrive for their arranged shift or they were late or left early.
Managers do not oversee things well, so risk plans and care records stay out of date and audits do not fix issues.
Governance processes were not always effective... auditing had not led to people's support plans being up to date... The provider had failed to fully assess, monitor and mitigate the risks relating to the health, safety and welfare of people.
Safety risks like incidents, choking and evacuations are not handled properly with out of date plans and weak follow up.
Staff did not always take other actions needed following these incidents... Guidance for staff about the risks for people was not always up to date... Risks assessments in relation to emergency evacuation... were not up to date.
AI Generated
Last inspected: July 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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