Last updated: 10 February 2026
"Staff feel well supported with good training, but medicines management issues and weak audits missed safety risks."
Medicines had not always been well managed. Some medicines administration records (MARs) had recording gaps... one person's emergency medicine to treat epilepsy had expired in January 2022.
Staff were well supported by the management team. Staff meetings took place regularly and staff felt confident in the support they received from the registered manager.
There were suitable numbers of staff to provide the care and support people were assessed as needing.
Per 2020 comprehensive inspection: Nurses and care staff had received statutory mandatory training including, first aid, fire safety... and additional training to enable them to meet people's specific health needs such as Parkinson's disease, dementia, oral hygiene, stroke and diabetes.
The systems to audit the quality of the service were not always robust or sufficient to alert the provider of concerns and issues found during the inspection.
Per 2020 comprehensive inspection: The service employed an activities coordinator. A range of activities were available... arts and crafts, bingo, singing, music, armchair exercise, board games... one to one activity for people that chose to stay in their rooms.
Medication records had gaps and one emergency medicine was out of date, so safety checks were not reliable enough.
Some medicines administration records (MARs) had recording gaps which had not been picked up... one person's emergency medicine to treat epilepsy had expired in January 2022.
Risks like a trip hazard in the dining room and a call bell lead for someone at ligature risk were not spotted or fixed promptly.
Risks relating to people's care and the environment were not always well managed. One person had been assessed as a ligature risk... found the person in their bedroom with a call bell lead in their hand... a small hole had developed in the dining room under the carpet, this created a trip hazard.
Quality checks and audits missed key problems like expired medicines and safety risks.
The systems to audit the quality of the service were not always robust or sufficient to alert the provider of concerns... Medicines audits had not checked expiry dates... health and safety audits... had not identified the hole in the dining room floor.
AI Generated
Last inspected: July 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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