Last updated: 10 February 2026
"Reliable staffing and a supportive family-like culture, but poor medicines safety and oversight gaps hold it back."
The service had systems and processes in place for the safe administration and management of medicines, but these were not always effective... The lack of an effective system to ensure the safe administration of medicines was a breach of Regulation 12.
A staff member told us, 'We are like a big family, we help one another, it is very supportive. I think it's the best job I've had regarding teamwork and working together.'
One staff member told us, '[Staffing] has never been under, if there is staff sickness, they are very quick to get [the rota] filled.' They also confirmed there were enough staff on duty to meet people's assessed needs on a daily basis.
Staff had completed training in safeguarding and understood different types of abuse.
The provider had a system of auditing in place which covered various aspects of the governance of the service provided. However, these audits had not identified issues with the safe administration and management of medicines.
Per 2017 comprehensive inspection: People were supported to undertake a range of activities, both individually and as a group... swimming, gardening at an allotment and going out with friends... trip out as a group and we have meals out.
Medication safety is poor because risks for people self-managing their meds are not always clearly documented and there is no policy for checking them.
Potential risks were not always clearly documented within medicines assessments... There was not a policy in place for monitoring people who self-administered their medicines.
Management oversight has gaps because their audits did not spot the medication problems.
these audits had not identified issues with the safe administration and management of medicines.
Only standard training like safeguarding is mentioned with no specialist courses or funded qualifications.
Staff had completed training in safeguarding and understood different types of abuse.
AI Generated
Last inspected: January 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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