Last updated: 10 February 2026
"Improved leadership and positive culture with good activities programmes, but medicines not managed safely and training not up to date."
Medicines were not managed safely including incomplete records, incorrect timing and poor covert administration; breach of Regulation 12.
Staff reported '100% improved since [manager] came... better leadership' and a positive open culture where management were accessible.
Staffing levels were safe. There were enough staff to meet people's needs.
An action plan was in place to ensure all staff were up to date with supervisions, appraisals and their mandatory training. They were not up to date.
New manager in post 3 months, staff reported 'marked improvement' and 'better leadership', but not yet registered and quality assurance missed medicines shortfalls.
Dedicated activities coordinator providing programme of group activities, 1-1 activities and trips out into the community.
Medication records were incomplete and medicines not always given at the right times.
Records for adding thickening powder to drinks... were not always completed... Medicines were not always administered at the correct times because the manufacturer's instructions were not followed.
Staff training and supervisions are not fully up to date yet.
An action plan was in place to ensure all staff were up to date with supervisions, appraisals and their mandatory training. They were not up to date after the previous manager had left.
No permanent manager in place yet.
At the time of our inspection there was not a registered manager in post. A new manager had been in post for 3 months and had submitted an application to register.
AI Generated
Last inspected: February 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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