Last updated: 10 February 2026
"Staff feel supported with good training, enough staffing and engaging activities, but weak governance misses safety risks like medicines and infection control."
We identified a breach of regulation. People were not being supported in a clean or well-maintained environment. Medicine processes in relation to the disposal of liquid medicines required improvement.
Staff told us they were fully supported by the manager and registered manager... 'It is quite welcoming here. We all seem to get along and it is a good place to work.'
People and relatives told us there was enough staff to meet people’s needs... Staff told us they had enough staff in place to meet people’s needs. 'No shifts are short.'
Staff were positive about the training they received... The registered manager kept an overview of staff refresher training to ensure staff were up to date with their training.
Governance and oversight systems were not always effective and internal audits had not identified the concerns found in relation to infection control, maintenance of the building and medicines.
We play games, we have sensory times... at the weekend we got the bus to Canvey... We do bake as well... supported to access the community... theatre, cinema, zoo trips and attending festivals.
Leaders miss important risks because their checks and audits do not spot problems like medicine issues.
The providers' quality assurance systems in place were not effective in identifying the concerns found with infection prevention and control, medicines and maintenance of the building.
Gaps in medicine handling like not knowing the right way to dispose of liquid medicines and missing stock records.
The manager was unaware of the correct process for disposing of liquid medicines safely... They were unable to produce these [stock sheets].
Fire drill records are incomplete so its unclear who has practiced evacuations.
A full record of staff attendance during fire drills and evacuation was not completed.
AI Generated
Last inspected: September 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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