Last updated: 9 February 2026
"Staff felt supported in an open culture with good training and individual activities, but gaps in medication records and ineffective audits were concerns."
There were gaps in people's MAR records where staff had failed to sign that they had given their medications as prescribed. The registered manager was unaware of these gaps.
The team promoted an open and transparent atmosphere and no blame culture. Staff felt the management was supportive, helpful and acted on any concerns reported.
People's needs were met by sufficient staff to keep people safe. The registered manager regularly assessed people's needs and adjusted staffing numbers according to people's current requirements.
Staff were given an induction when they started and had access to a range of training to provide them with the level of skills and knowledge to deliver care efficiently. Staff felt they had the training they needed.
The provider had quality assurance systems in place... However, we found these were not always effective. For example, in relation to audits of people's medicine administration records (MAR).
People's activities programmes were highly individual and designed to meet their specific needs... Activities were provided within and outside of the service. People were supported to participate in community activities.
Checks on medication records missed gaps where staff forgot to sign they had given meds.
we found these were not always effective. For example, in relation to audits of people's medicine administration records (MAR). There were gaps in people's MAR records where staff had failed to sign that they had given their medications as prescribed.
Staff sometimes forgot to sign medication sheets, and this happened more than once.
This had been previously identified through an audit, we however reviewed people's MAR records for September 2018 and November 2018 and found staff still failed to sign these.
AI Generated
Last inspected: January 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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