Last updated: 9 February 2026
"Staff work closely together and feel supported by management with consistent staffing, but training gaps and safety risks put people at unnecessary harm."
Systems had not been established to assess, monitor and mitigate risks to the health, safety and welfare of people using the service. This placed people at risk of harm. This was a continued breach of regulation 12(1)
Staff were seen to be working closely together and supporting one another. Staff told us they felt supported by the management team.
Staffing rota's reviewed demonstrated consistent staffing numbers deployed within the service as much as possible. However, a family member we spoke with highlighted that the staff team had recently changed
We continued to identify gaps in mandatory training of staff during our inspection, which poses a risk that staff may not have the required knowledge to keep people safe
The provider was currently implementing a change of senior structure within the organisation to improve oversight and timely action taken where areas of concern are identified. These roles were still being established at the time of our inspection.
People were regularly supported to participate in activities of their choosing, on both days of inspection people were observed being supported to leave the house on pre- planned activities.
Staff miss key training like epilepsy awareness and some mandatory courses, so they may not always know how to support people safely.
We continued to identify gaps in mandatory training of staff during our inspection, which poses a risk that staff may not have the required knowledge to keep people safe and ensure all staff were consistently promoting choices.
Safety risks like poor fire records and unreported missed medication incidents are not fully sorted.
At this inspection, we continued to identify incidents that had not been reported to the local authority in relation to missed medicines.
Management is slow to fix issues from audits and new senior roles are not yet fully in place.
Audits that had been completed, prior to these new roles being implemented, had not led to timely changes being made within the service.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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