Last updated: 10 February 2026
"Staff feel very supported by a caring management team with a positive culture and tailored activities, but medication records had gaps and audits missed issues."
People's medication records were not always accurate and had conflicting medicine information. People did not always have 'as required' medicine guidance in place.
The registered manager promoted a caring, positive, transparent and inclusive culture within the service. Staff said they felt very supported by the management team.
People's needs were met by sufficient staff to keep people safe. People received support from staff on a one to one basis and in small groups. This was based on people's individual needs.
Staff had access to training to develop the skills and knowledge they required. Regular supervision, staff meetings and annual appraisals were used to enhance staff knowledge and to support them in developing skills to meet people's specific needs.
The registered manager knew the service and the people living there extremely well. Staff said they felt very supported by the management team. One staff member told us, 'She [registered manager] is always there. She is very supportive and flexible.' However, quality assurance audits were not always effective as they didn't always identify gaps in medication records.
People's activities programmes were highly individual and designed to meet their specific needs. Some people's programmes responded to their choices, moods and well-being on a daily basis. Activities were provided within and outside of the service. People were supported to participate in community activities, as they chose. For example, one person... regularly took trips away, including abroad.
Medication records sometimes had gaps or conflicting info, and as-needed meds lacked clear guidance sometimes.
There were gaps in people's MAR records where staff had failed to sign that they had given their medications as prescribed... People's medication records contained conflicting information.
Managers checks did not always spot issues like gaps in medication records or missed notifications about legal restrictions on freedom.
The registered person did not always inform of authorisations under the Deprivation of Liberty Safeguards as required... The audits conducted on these MAR records did not identify the gaps.
AI Generated
Last inspected: March 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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