Last updated: 9 February 2026
"Staff work well as a team with good training support, but limited activities, staffing shortages and poor risk plans hold it back."
People's risk assessments and risk management plans were not always effective... copy pasted onto the other people's risk assessments and were not each individual specific. This was in breach of regulation 12.
The registered manager and staff worked as a team and in partnership with a range of professionals. Staff received support through training, supervision and staff meetings to ensure they could meet people's needs.
People were not supported by effectively deployed staff at all times. Relatives gave us mixed feedback for example... 'Not always a lot of staff.' A third relative commented, 'When I do go only one person I seen on shift.'
Training records confirmed that staff had completed training that was relevant to people's needs. However, staff supervision records were not maintained and this required improvement.
The systems in place to understand and address the quality and safety issues within the service were not operating effectively. This was a continued breach of regulation 17 (Good Governance).
The activity coordinator had left the service two months ago and people had limited activities on offer, apart from the regular day care centre they attend.
Not always enough staff for one-to-one support, some relatives saw only one on shift.
'When I do go only one person I seen on shift.'
No activities coordinator for two months, so limited activities beyond day centre.
the activity coordinator had left the service two months ago and people had limited activities on offer, apart from the regular day care centre they attend.
Risk plans not detailed or up to date enough for staff to manage safely.
Risk assessments were copy pasted onto the other people's risk assessments and were not each individual specific.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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