Last updated: 10 February 2026
"Enough staff to meet needs, good training and collaborative teamwork, but no registered manager and safety lapses like unreported incidents create risks."
From reviewing the service's incident, accident and complaints records, as well as information relating to the management of people's medicines, we identified examples of incidents which had not been reported to the local authority safeguarding team, and to CQC, as required.
Members of staff told us they worked collaboratively as a team to achieve good care outcomes for people.
From reviewing rotas, sourcing feedback from people and relatives and our own observations, people's needs were being met by sufficient numbers of staff.
Staff completion rates of the provider's mandatory training courses was high. The service had a training programme with courses and refresher dates booked in for completion by staff throughout the year.
At the time of our inspection there was not a registered manager in post.
Per 2017 comprehensive inspection: There was an activities coordinator allocated to support people with their hobbies and interests for 25 hours each week.
No permanent manager in post, so leadership and oversight have gaps that miss risks.
At the time of our inspection there was not a registered manager in post.
Some incidents not reported to safeguarding and medication safety issues like out of date stock.
Safeguarding reporting processes were not consistently followed to protect people from risk of harm and abuse. This was a breach of regulation 13... We identified out of date medicine, and medicine that had been discontinued by the prescriber to still be accessible to staff in the medicine room.
Only basic activities like pet visits and social events, so the role lacks variety beyond routine care.
On the day of our inspection, a PAT (Pets As Therapy) dog visited... Social events were regularly planned at the service involving people's relatives, friends and members of the local community.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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