Last updated: 10 February 2026
"A positive culture and varied activities impress, but out-of-date training and unsafe medicines management are major concerns."
Medications were not always managed safely. There was limited oversight by the registered manager and provider in relation to medication administration with a lack of audits completed. The provider had failed to ensure safe systems for the management and administration of medicines. This demonstrated a breach of regulation 12.
Relatives and staff told us there was an open and positive culture at the service. Feedback from staff regarding management was positive.
There were sufficient staff deployed to meet people's needs and wishes. A small number of agency staff were used to cover staff vacancies. Wherever possible the same agency staff were used which provided people with a consistent approach.
We were not assured staff training was up to date. The provider's training matrix indicated a number of courses had either not been completed or out of date. For example, only 2 out of 15 staff had completed fire safety training and 8 out 15 staff members infection control training had expired.
There was a lack of governance oversight by the registered person. Managerial responsibilities, and the day to day running of the service was the reasonability of the registered manager. However, there were no systems or processes in place to ensure effective oversight of the service by the registered provider.
People were supported to participate in their chosen social and leisure interests on a regular basis. For example, on the day of inspection the majority of people went on a boat trip. We saw people happily engage in activities that were well-planned and varied.
Lots of staff training is out of date or missing, like only 2 out of 15 did fire safety and many infection control courses expired.
only 2 out of 15 staff had completed fire safety training and 8 out 15 staff members infection control training had expired
Medication is handled unsafely with missing records, untracked drugs, and untrained staff sometimes giving it out.
an untrained member of staff administering medication without having had a medicines training or a competency assessment
Managers do not check things well enough, so safety risks and training gaps are not spotted or fixed early.
Audits were not comprehensive and had failed to identify shortfalls in relation to risks to people's safety, medicines management
AI Generated
Last inspected: February 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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