Last updated: 9 February 2026
"Reliable staffing and happy staff morale, but medicines safety issues and ineffective monitoring systems were major concerns."
People's medicines were not always managed in line with the provider's policy and procedure. This meant there was an increased risk that people would not receive their medicines safely and as prescribed.
Staff said they liked working for the provider and were happy. Their comments included, 'Staff are happy and morale is generally high', 'It is a good place to work.'
We looked at the staff rotas for the last 6 weeks and found that there was always enough staff on duty to meet the needs of people who used the service.
New staff received an induction into the service which included training the provider identified as mandatory. Staff received regular supervision and yearly appraisals.
The provider's systems for monitoring the quality and safety of the service had not always been effective. They had failed to identify the issues we found during our inspection in relation to medicines management.
A part-time activities coordinator provided people with a range of activities and people spoke highly of them.
Staff made mistakes giving medicines like wrong counts and missing records which put people at risk.
we found some staff did not always follow the provider's medicines policy and procedures. We identified some shortfalls on the day of our inspection.
Accident records were often incomplete with no analysis of why they happened or how to prevent repeats.
The process for learning from accidents and incidents to prevent these from happening again was inconsistent. Some accident records were incomplete and did not contain evidence of an analysis.
Bosses checks missed the medicine errors and accident record problems until inspectors pointed them out.
their systems had not identified the concerns we found during our inspection. Following our feedback, the registered manager provided evidence they had taken appropriate action.
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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