Last updated: 10 February 2026
"Staff enjoy regular supervisions from approachable managers and varied activities, but poor medicines safety and recruitment gaps are major concerns."
We found expired medication in the medicine’s fridge. This demonstrated unsafe medicines management practices... we observed a care team leader transferring medication directly from the box or bottle directly into their ungloved hand.
Staff told us they had regular supervisions. A staff member told us 'The manager carries out regular supervision. I would have no problem talking to the manager if I had to discuss something with them. They are very approachable'.
The registered manager had not always ensured staff were safely recruited. We saw gaps in recruitment files, such as incomplete, records in relation to staff interview and references received had not been verified.
The staff training matrix had not been updated which meant the service could not be assured that staff had received the required training to carry out their roles safely.
The registered manager’s governance arrangements did not always provide assurance the service was well led. Quality assurance systems were not robust and had not identified the shortfalls we found during our inspection.
Per 2023 comprehensive inspection: The service had a dedicated wellbeing lead to facilitate social interaction and activities... Activities included 'knit and natter', coffee mornings, armchair yoga, arts and crafts, cooking, quizzes and reminiscence.
Recruitment records have gaps like unverified references and missing interviews, so you can't be sure new staff are safe and qualified.
We saw gaps in recruitment files, such as incomplete, records in relation to staff interview and references received had not been verified.
Medication safety is poor with expired drugs in the fridge and staff pouring pills into ungloved hands.
We found expired medication in the medicine’s fridge... observed a care team leader transferring medication directly from the box or bottle directly into their ungloved hand into a person’s hand.
Management audits and oversight fail to spot major issues like unsafe meds and poor risk plans.
Quality assurance systems were not robust and had not identified the shortfalls we found during our inspection.
AI Generated
Last inspected: September 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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