Last updated: 9 February 2026
"Staff feel supported with enough on duty, but poor training, unsafe medicines and weak governance hold it back."
Medicines were not always managed safely... The failure to ensure medicines were safely managed was a breach of Regulation 12... Risk assessments did not contain enough detail.
Staff members were very positive about working at the service and felt supported by the manager and the provider. 'It's a great place to work'
There was enough staff on duty to meet people's needs. Staff were recruited safely.
Staff had been provided with mandatory training with the exception of MCA... Medication competency assessments were out of date and did not include competencies relating to controlled drugs.
Governance systems were not effective. They had not identified or addressed the issues we found at inspection. This was a breach of regulation 17 (Good Governance).
People were encouraged by staff to try new experiences, for example employment or courses... supported to participate in their chosen social and leisure interests on a regular basis.
Staff give medicines without up to date skills checks and strong painkillers were not stored securely.
Medication competency assessments were out of date and did not include competencies relating to controlled drugs. There was no lockable cupboard to store controlled drugs.
Key training gaps in mental capacity assessments and medicines handling leave staff unprepared.
Staff had not completed MCA training. Medication competency assessments were out of date.
Management checks missed safety risks like poor medicines systems and out of date risk plans.
Quality assurance system was not robust enough to identify the risks found during the inspection. Governance systems were not effective.
AI Generated
Last inspected: July 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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