Last updated: 10 February 2026
"Staff enjoy their roles with a supportive manager, but staffing levels sometimes fall short and medicines management needs improvement."
Medicines processes required some improvement... Information to support staff to safely administer 'when required' medicines was not always available... we found one example where necessary referrals had not been made.
Staff told us they enjoyed their roles, staff comments included, 'I like my team'... Feedback about the registered manager was positive... 'she is a great manager, she's approachable. I do feel that she's given us that support'.
Staffing levels were at times slightly lower than required. However, the registered manager was in the process of recruiting 1 additional carer to make up the required staffing levels... Recruitment processes were mostly safe, though the service had not obtained a full employment history.
Not covered in focused inspection; prior comprehensive report from 2018 exceeds 2 years old.
Quality assurance systems required some improvement, the medicines audits did not identify all of the concerns we found and the provider had not completed the provider information return (PIR) when requested.
Not covered in focused inspection; prior comprehensive report from 2018 exceeds 2 years old.
Staff numbers sometimes drop below what's needed on shifts, and recruitment skips full work history checks.
Staffing levels were lower than required on some shifts... the service had not obtained a full employment history for the staff whose recruitment files we reviewed.
Medication guidance is sometimes missing so staff might not know when to give as-needed meds, and one safeguarding referral got missed.
Information to support staff to safely administer 'when required' medicines was not always available... we found one example where necessary referrals had not been made.
Quality checks and audits fail to spot problems like meds issues or recruitment gaps in time.
Quality assurance systems required some improvement, the medicines audits did not identify all of the concerns we found.
AI Generated
Last inspected: November 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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