Last updated: 10 February 2026
"Staff appreciate the supportive new manager and enough staffing with continuity, but risks and medicines aren't always managed safely and new staff inductions are poor."
Risks to people's health and welfare were not always assessed and managed safely or consistently. Medicines were not always managed safely.
Staff were appreciative of the new manager and told us they found them to be supportive and approachable. They felt comfortable to raise things with the new manager.
People felt there were enough staff available to meet their needs... agency staff were sometimes used but wherever possible it was the same agency staff, to provide some continuity.
Although staff were recruited safely, some of those who were newly recruited to the service told us their induction had been poor. This was due to a lack of management oversight.
The newly appointed manager understood where areas of improvement were required in the service but needed support from the provider to address this in a timely manner.
People were supported to live healthier lives. For example, some people attended a ‘walk and talk’ group organised by a mental health charity and the service had obtained a piece of gym equipment.
Risks and medication aren't always handled safely, so you have to double-check everything to avoid mistakes.
Medicines support was not always recorded accurately and we found that on 2 occasions, records were not completed at the time of administration. Risks to people's health and welfare were not always assessed and managed safely or consistently.
New staff get poor induction from other workers instead of proper training, leaving gaps in skills.
Some of those who were newly recruited to the service told us their induction had been poor. This was due to a lack of management oversight, and whilst they had learned what they needed to know, staff told us this had come from other staff rather than through a structured process.
Only basic outings and external groups mentioned, no activities coordinator or varied programme to make shifts interesting.
Activity preference forms and activities schedules were not always completed to reflect recent activities undertaken... activity recording sheets were not routinely completed and where they were, it showed limited access to people’s recorded interests.
AI Generated
Last inspected: November 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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