Last updated: 9 February 2026
"Enough staff with good training and positive culture, but unsafe medicines handling and absent manager with weak oversight hold it back."
People were supported to receive their medicines in a way that was not always safe... gaps in medicines administration records... 1 person's controlled medicine was not recorded... missed a dose... breach of regulation 12.
There was a positive and open culture at the service. The manager instilled a culture where people and staff were valued. They were visible in the service and led by example.
The provider ensured there were sufficient numbers of suitable staff. Staff told us they had enough time to carry out their work and keep people safe. People told us there were enough staff.
Staff undertook training to provide them with knowledge and skills... included working with people with autism, mental capacity... New staff undertook an induction programme... regular one to one supervision meetings.
the registered manager had been absent from the service since September 2021. A new manager had been appointed. Provider and management level oversight of the service needed to be strengthened.
During our inspection people enjoyed home based activities of their choosing including listening to music and going out in the local community. Each person had an activities planner.
Medication records have gaps and some doses were missed, so handling medicines isn't fully safe.
We found gaps in medicines administration records. Some medicines that were administered had not been signed as given... this person had missed a dose of their medicine due to the stock not being ordered in a timely manner.
No permanent manager for over two years, and oversight like medicine checks isn't strong enough.
the registered manager had been absent from the service since September 2021... auditing processes around people's medicines was not robust at identifying shortfalls.
Just basic activities like music and local outings, no special programmes or coordinator to vary the role.
people enjoyed home based activities of their choosing including listening to music and going out in the local community. Each person had an activities planner.
AI Generated
Last inspected: January 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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