Last updated: 9 February 2026
"Staff feel supported by committed management and are well-trained, but weak safeguarding and medicines records are major concerns."
We have identified a breach of regulation in relation to safeguarding... One person’s risk assessment was not robust enough... Some medicines records needed improvement.
Staff morale is good here because we are supported well by management. The [registered] manager has an open-door policy, and you can speak to the manager whenever you need to. Concerns were addressed timely.
There were enough staff on duty to meet people’s needs. Staff told us there were always enough staff on shift... We may use agency [care] staff sometimes.
Staff were well-trained and followed people’s care plans and risk assessments... Training records showed staff completed a wide range of training courses including first aid, de-choker, mental capacity, safeguarding, and positive behaviour support training.
The registered manager was committed to continually improving the service and acted immediately to address the shortfalls we found during our assessment. Staff felt supported by the management team with an open-door policy.
Safeguarding processes weren't always effective, with one person's risk assessment too weak leading to repeated incidents, plus errors in medication records like missing times for urgent meds and wrong blood sugar logs.
The provider’s systems, processes, and practices to protect people from abuse were not always effective. An incident... occurred... the measures... were not robust enough. As a result, a further similar incident occurred... Some medicines records needed improvement. Staff had not always recorded when ‘time critical’ medicines were administered. A person’s blood sugar levels were recorded incorrectly.
Quality audits and checks missed the safeguarding incidents and medication problems until inspectors pointed them out.
The provider’s quality assurance audits and checks had failed to identify these issues... Medicines audits failed to identify the concerns we found.
Staffing is adequate and well-skilled but they are always recruiting and sometimes use agency care staff to cover shifts.
We are always recruiting. We have been since COVID... We may use agency [care] staff sometimes. But a lot of our staff pick up the shifts to make sure the rotas are covered.
AI Generated
Last inspected: November 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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