During an assessment under our new approach
Date of assessment: 26 January to 10 February 2026. The reason for this assessment was because there was a new provider for this service who had not yet been assessed.
We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
We found improvements were needed in some aspects of the service for people’s safety. These included, managing risks with the environment, providing people with meaningful and stimulating activities, and governance.
Risks to the environment had not always been identified and assessed. Where risks had been identified, action had not always been taken to taken to reduce the risk to people. These included fire, legionella and other environmental risks associated with the service.
Following a provider led organisational restructure, there was no registered manager at the service. Management oversight systems had not been used effectively to assess, monitor and improve the safety of the service, and had not identified the shortfalls we found during the inspection.
However, the provider was open and responsive to concerns and took some action to reduce risks.
There was a consistent staff team who knew people well, treated them with dignity and respect, and worked effectively with other services so people had the healthcare and support they needed.
During our assessment, we found 3 breaches of regulations in relation to person centred care, safe care and treatment, and governance.
We have asked the provider for an action plan in response to 3 of the concerns found at this assessment.