Last updated: 10 February 2026
"Staff feel happy and supported with good training and engaging activities, but weak governance and safety risks from medicines and cleaning hold it back."
Medicines optimisation Score:2 The provider did not always make sure that medicines... were safe... medicines were not always stored safely... Infection prevention and control Score:2 ...did not always assess or manage the risk of infection... Some areas ... not always cleaned effectively.
Workforce wellbeing and enablement Score:3 Staff told us they were happy working in the service and were well-treated. One staff member said “[Registered manager] is always available if needed.”
Safe and effective staffing Score:3 The provider made sure there were enough qualified, skilled and experienced staff... There were enough staff to meet people’s needs. Staff were recruited safely.
Staff had received appropriate training and were recruited safely. Staff received regular medicine competency checks and training to enable them to administer medicines safely.
Governance, management and sustainability Score:1 The provider did not always have good governance systems in place. We identified concerns related to medicines, IPC, environmental safety, care planning and managing risk.
Relatives said “keep [Person] busy through exercise, swimming and other activities” and “disco, outings, pub lunch and pet shops”. Staff supported gym, seaside trips, cooking, holidays.
Staffing is adequate with enough staff to cover needs but no info on stable team or low agency use to make workloads easy.
Safe and effective staffing Score:3 ...There were enough staff to meet people’s needs.
Medication not always stored or recorded safely and unclean areas make the workplace risky.
Medicines were not always stored safely and securely... guidance for staff was not always in place or up to date... Some areas of the service were not always cleaned effectively.
Managers missed safety problems in medication, cleaning and risks because oversight was weak.
Governance systems had not identified areas for improvement... We found a breach of the legal regulations in relation to governance in the service.
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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