Last updated: 10 February 2026
"Supportive managers and strong training foster an open culture, but safety gaps in medicine instructions and risk plans need fixing."
Instructions about administering medicines prescribed to be given only as required (PRN) were lacking detail. Risk assessments... it was not clear what this score meant or what measures were in place to reduce risks.
The service had an open and inclusive culture. People and staff told us... they felt able to speak up if they had any concerns.
People and staff felt there was sufficient staffing to meet people's needs safely. However, agency staff had been brought in the previous night at short notice to cover sickness and one staff file did not contain a full history of employment.
Staff had access to teaching sessions about specific mental health conditions... tailored around any gaps in staff knowledge. Staff had the ongoing support they needed... regular one-to-one meetings with their line manager.
Managers were supportive and approachable and promoted an open, inclusive culture. People and staff told us the registered manager was very supportive and leadership was always visible at the service.
People had opportunities to participate in a variety of social activities. Staff explained... weekly café trip and a summer barbecue. The provider was planning other trips including an outing to see Christmas lights.
Safety processes have gaps like unclear written instructions for as-needed medications and risk plans that don't fully explain triggers or responses.
instructions about administering medicines prescribed to be given only as required (PRN) were lacking detail... the risk assessment... did not contain information about what this behaviour might look like, triggers, warning signs or how staff should respond.
Staffing is adequate but they sometimes bring in agency workers for sickness cover and one hiring record misses full job history details.
agency staff had been brought in the previous night at short notice to cover sickness... One staff file did not contain a full history of employment since leaving school.
Activities are basic like café trips, barbecues, and cooking sessions with no dedicated coordinator or specialist programmes.
weekly café trip and a summer barbecue... cookery sessions... staff offered people activities relevant to these [hobbies and interests].
AI Generated
Last inspected: November 2021
Management Quality
Well-led: Good
Direct feedback from current and former employees

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