Last updated: 10 February 2026
"Staff feel supported in an open culture with comprehensive activities and good training, but poor medicines management, incomplete risk records and missing appraisals are concerns."
Records and stock levels related to medicines management were not always well maintained... Records related to people's risks were not always well maintained. This is a breach of Regulation 17.
The culture of the service was open, and people felt able to raise any issues. Staff felt supported by the registered manager.
Staffing numbers were sufficient on both days of the inspection... there were mixed views from people and relatives regarding staffing levels.
Staff had received appropriate induction, had completed mandatory training and supervision was conducted. However, appraisals had not been completed recently.
The registered manager told us staff had not received an annual appraisal for two years, but they had plans in place to address this shortfall. Audits had not consistently identified areas of practice which were unsafe.
People had access to a comprehensive programme of activities... the activity co-ordinator... well-designed and thought-out garden, with several different areas, things of interest and stimulating features.
Medication records have gaps like missing signatures for creams and one person missed doses for days, raising safety risks.
one person did not receive a medicine for two a half days... staff were not always signing to say creams had been applied.
Risk records like air mattress settings and falls sensor checks are often incomplete or wrong.
air mattress settings were not recorded in people's care plans... the sheets had not always been completed.
No staff appraisals for two years and quality audits miss problems like record-keeping issues.
staff had not received an annual appraisal for two years... Audits had not consistently identified areas of practice which were unsafe.
AI Generated
Last inspected: July 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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