Last updated: 10 February 2026
"Enough competent staff and positive feedback from people and staff, but poor medicines management and oversight shortfalls are major concerns."
People's medicines were not always safely managed, people did not always receive their medicines as prescribed.
People and staff provided mostly positive feedback on the management of the service. Staff told us they enjoyed their role.
We saw there were enough competent staff on duty with the right skills and mix to support the needs of people using the service. Per 2020 comprehensive inspection.
nearly all staff 's medicine competency assessments were overdue... there had been no specialist training for staff to enable them to support people with more complex needs. For example, Parkinson's.
The registered manager was experienced and had knowledge to carry out their role, however we found shortfalls in the oversight of the service.
We received mixed opinions from people and their relatives about activities... we saw minimal one to one, or group activity other than nail manicures. Per 2020 comprehensive inspection.
Staff sometimes miss giving people their meds, like Parkinson's drugs for days which risks falls and stiffness.
One person told us they had not received their medicine for almost a week. When following this up we identified another person had missed their time critical medicine for Parkinson's for three days.
Managers do not spot risks or problems like missed meds and unreported incidents in their checks.
Systems and processes had failed to identify that not all risk's to people's safety and well-being had been identified and mitigated... Incidents of potential abuse had not always been reported in a timely manner.
Staff skills checks for giving meds are overdue and there is no specialist training for complex needs like Parkinson's.
we found nearly all staff 's medicine competency assessments were overdue... there had been no specialist training for staff to enable them to support people with more complex needs. For example, Parkinson's.
AI Generated
Last inspected: August 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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