Last updated: 9 February 2026
"Stable staffing, positive culture and engaging activities, but managers not completing mental capacity assessments or reporting safeguarding incidents."
Improvements were required for completing safeguarding referrals and notifications... The management of the service confirmed some incidents had not been raised with the local authority safeguarding team.
Per 2018 comprehensive inspection: There was a positive staff culture and atmosphere within the service. Staff were valued and supported... Staff said they worked well as a team and there was a pleasant and happy atmosphere.
People felt supported by enough staff who they described as nice... Staff told us there was enough staff... we observed people being supported by enough staff.
Supervision and training was provided to staff... Training was a mixture of online and face to face. The provider’s training matrix monitored staff training... staff needed to attend Mental Capacity Assessment training (MCA).
Improvements were required to undertaking Mental Capacity Assessments and making referrals to Deprivation of Liberty Safeguards (DoLS) and the local authority safeguarding team as the management were not always completing these when required.
Per 2018 comprehensive inspection: A weekly schedule of activities was displayed... quizzes, arts and crafts, we make jam and drinks, ice lollies, preparing veg... inter-generational project called, 'Communi-tree.'... featured in a national publication about the benefits... keeping chickens.
Managers did not always complete mental capacity paperwork, best interest decisions, or make deprivation of liberty applications when needed.
Improvements were required to undertaking Mental Capacity Assessments and making referrals to Deprivation of Liberty Safeguards (DoLS) and the local authority safeguarding team as the management were not always completing these when required.
Some protection concerns and incidents were not reported to the local authority or regulator as they should have been.
some incidents had not been raised with the local authority safeguarding team... Improvements were also required to sending formal notifications to us (The Care Quality Commission) when required.
Only standard training with gaps like no mental capacity assessment training for staff yet.
One area the provider had identified was that staff needed to attend Mental Capacity Assessment training (MCA).
AI Generated
Last inspected: March 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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