Last updated: 9 February 2026
"Staff feel supported with good training and enough staff, but poor governance, medicines safety issues, and limited activities hold it back."
People could not always be assured they received their medicines safely in accordance with the prescriber's instructions. 'As required' medicine (PRN) protocols were not in place to guide staff.
Staff told us they were able to ask questions and offer suggestions and these were taken on by managers. One staff said, 'I get brilliant supervision, couldn't ask for a better manager.' Another told us, 'I feel so supported.'
There were sufficient staff to meet people's needs. We observed staff were prompt in supporting people who needed assistance. People told us staff were kind to them and how they always had time to chat.
Nationally recognised qualifications were held by 15 of the staff team. The Care Certificate was undertaken by new staff where they need it. Staff received support in the form of continual supervision, appraisal and recognition of good practice.
Breach of Regulation 17 (Good Governance): The provider had failed to establish adequate systems and processes to assess and improve the quality and safety of the service provided or to assess and monitor risks.
Staff offered baking as an activity but generally people were not involved in shopping or cooking as part of the everyday activities of their own life. Staff carried out daily tasks such as cooking and cleaning without always actively supporting people to take part.
Leadership has gaps in oversight like old risk assessments over a year out of date and poor quality checks on safety.
General risk assessments were in place; however, some had not been reviewed for over a year. The provider had failed to establish adequate systems and processes to assess and monitor risks. Breach of Regulation 17.
Safety issues with medication like missing guides for as-needed medicines and out of date medication plans.
'As required' medicine (PRN) protocols were not in place... Each person had a medicine plan... however these plans were mostly out of date.
No proper activities programme so the job is mostly routine tasks without helping people learn skills like cooking or cleaning for themselves.
Staff did not always support people to have a range of opportunities... to learn to be more independent... staff carried out daily tasks such as cooking and cleaning without always actively supporting people to take part.
AI Generated
Last inspected: March 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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