Last updated: 9 February 2026
"Enough staff for one-to-one support, good training, and a caring culture, but safety issues like missing medicines protocols and overlooked fire risks hold it back."
People could not always be assured they received their medicines safely... 'As required' medicine (PRN) protocols were not in place... there had been a risk of harm.
Staff spoke about the people they support with genuine affection and pride in their achievements. One staff said, 'we support to make a wish come true.'
There were enough staff to support people. This included 1 to 1 support for people to take part in activities and visits how and when they wanted.
Staff told us they had a wide range of training and had a robust induction including enough time to get to know the people living at Brookmead.
Leaders and the culture they created did not always support the delivery of high-quality, person-centred care. Internal quality assurance systems and processes to maintain and develop the safety and quality of care were not always operating effectively.
People could take part in activities of their choosing at the service or in the wider local area and pursue their own interests.
Managers missed safety issues like wedged open fire doors and outdated risk checks until inspectors pointed them out.
Risks to people from fire had not always been assessed effectively. We found the office door wedged open... General risk assessments were in place; however, some had not been reviewed for over a year.
Medication guides for as-needed drugs were missing, creating a risk even though no harm happened and it got fixed fast.
'As required' medicine (PRN) protocols were not in place to guide staff... there had been a risk of harm.
No structured activities programme or coordinator, so the job is basic outings and helping with personal interests rather than varied creative work.
People could take part in activities of their choosing at the service or in the wider local area and pursue their own interests.
AI Generated
Last inspected: April 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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