Last updated: 10 February 2026
"Stable staff retention and a positive culture where staff feel valued, but audits miss issues like out-of-date care plans and medicines safety problems."
Medicine management required improvement. We found one person's medicine administration records had not included their allergies... The service had not always managed incidents affecting people's safety well. We looked at recent incident records and found that on one occasion appropriate actions were not taken following a head injury.
Staff told us they enjoyed working at the service, felt supported, valued and involved in the delivery of care. One staff told us, "I love working here and people who live here are like family, most of us [staff] had been here a long time. Can't imagine working anywhere else."
Staff turnover was very low, which supported people to receive consistent care from staff who knew them well... The service had enough staff numbers and skills of staff matched the needs of people using the service. Staff recruitment and induction training processes promoted safety.
Staff had training on how to recognise and report abuse and they knew how to apply it... There was a system in place to monitor staff through regular supervision. The registered manager told us they completed staff supervision every two months.
Audits were completed by the registered manager; however, they were not always used to implement and drive improvement in a timely manner. For example, we found some care plans were out of date and needed to be updated. There was a medicines audit in place... However, we found a missing information on a MAR chart which the audit had not identified.
a small house containing one flat which was occupied by one person. There was a secure car park area with tables and chairs people could use in warmer days and one 'summer style house' which was in the process of being set up to be used for arts and craft and other activities... People could take part in activities and pursue interests that were tailored to them.
Managers do audits but they miss problems like out of date care plans and missing allergy details on medication sheets.
Audits were completed by the registered manager; however, they were not always used to implement and drive improvement in a timely manner. For example, we found some care plans were out of date... we found a missing information on a MAR chart which the audit had not identified.
Medication sheets miss allergy info and staff did not seek medical help after a head injury.
We found one person's medicine administration records had not included their allergies... on one occasion appropriate actions were not taken following a head injury. On this occasion the person had not suffered any injuries, however medical advice was not sought.
No activities coordinator or varied programme mentioned, just a space being set up for arts and crafts.
one 'summer style house' which was in the process of being set up to be used for arts and craft and other activities.
AI Generated
Last inspected: March 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp