Last updated: 10 February 2026
"Staff feel supported with regular training and enough permanent staff, but unsafe medicines management and ineffective governance hold it back."
Medicines were not always managed safely... The service was in breach of legal regulations in relation to safe care and treatment. Some environmental risks had not been sufficiently assessed and addressed in a timely way.
Staff told us the management team were supportive and approachable... They told us they had opportunities to provide feedback, voice opinions and felt comfortable to raise any concerns or suggestions.
The staff told us, they felt there was enough staff to provide safe and effective care. The provider told us the service had a core team of permanent staff, who helped each other to cover periods of staff sickness and annual leave.
Training records confirmed staff had regular training in several areas. This included, medicines, safeguarding, moving and handling, end of life care, supporting specific behaviours, catheter care and dementia care. The provider had supported staff to achieve various qualifications such as, level 5 Health Social Care Qualifications.
The service continued to be in breach of legal regulations in relation to good governance. The provider's governance systems were not always effective in monitoring and improving the quality of the service.
Some people used the tables in the communal lounges to take part in craft activities. On the day of our visit the deputy had organised a painting activity.
Medication handling has issues like missing guidance for creams, as-needed meds, and covert giving.
Medicines were not always managed safely. Where people received their medicines covertly, we found not all necessary procedures had been followed. We identified there was insufficient written guidance for topical medicines and medicines prescribed PRN ‘as required’.
Oversight and audits miss problems like outdated risk assessments and safety shortfalls.
The provider's governance systems were not always effective in monitoring and improving the quality of the service. Action was not always taken to sufficiently assess and address shortfalls in a timely way.
No activities coordinator or varied programme, just occasional crafts so days feel routine.
Some people used the tables in the communal lounges to take part in craft activities. On the day of our visit the deputy had organised a painting activity.
AI Generated
Last inspected: May 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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