Last updated: 10 February 2026
"Staff feel proud in a family-like culture with comprehensive training, but basic activities and gaps in medicines recording plus missing risk assessments need attention."
There were some concerns regarding formal recording of medicines. We reviewed the Medication Administration Records sheet (MARs). It was not always clear from the MARs whether people had received their medicine as some entries had not been signed by staff as required... some risk assessments were not in place... a lack of formal monitoring regarding accidents and incidents.
Staff said they were proud to work at Breage House and there was a common theme of them being an 'extended family' which encompassed the people they supported, their relatives and the staff team.
Staffing arrangements met people's needs in a safe way... Agency staff were used when necessary. These were staff who were familiar with people's needs and worked at Breage house regularly. The registered manager told us they had recently recruited several new staff and the need to use agency staff had declined as a result.
Training identified as necessary for the service was provided and updated regularly. Staff told us the training was comprehensive... Further training in areas specific to the needs of the people using the service was provided. For example, key word signing and epilepsy awareness.
The registered manager worked in the service every day. Alongside managerial duties, the registered manager was available to provide care and support as needed.
Care records showed that people took part in a range of activities. We saw people undertaking individual activities such as going out for walks with staff, and socialising. People choose where they wanted to go for their holiday with staff support.
Only basic activities like walks, shopping and day centre trips, no dedicated coordinator or specialist programmes to vary the role beyond routine care.
People were supported to take part in a range of activities, both within the service and outside. For example, walks, shopping, hydrotherapy and attending day centre.
Gaps in medication sheets and some missing risk assessments, plus no formal tracking of accidents at first.
some risk assessments were not in place, medicine sheets had gaps, and a lack of formal monitoring regarding accidents and incidents.
Some agency staff still used occasionally, even though new hires have reduced the need.
Agency staff were used when necessary. These were staff who were familiar with people's needs and worked at Breage house regularly.
AI Generated
Last inspected: October 2018
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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