Last updated: 9 February 2026
"Enough well-trained staff and positive culture, but weak audits missed safety issues with medication and infection control."
Medicines had not always been managed safely. People had not always been protected from the risk of infection; some areas of the service had not been maintained to reduce this risk.
Staff had completed regular surveys the most recent in February 2023, the responses appeared to be mainly positive.
Staff had been recruited safely and there were enough staff to support people and meet their needs. Staff told us there was sufficient staff and any gaps were usually covered by permanent staff. When gaps could not be covered regular agency staff were used.
Per 2019 comprehensive inspection: Staff received the training and updates they needed, Training was up to date and a schedule of refresher training was in place. Staff told us training was effective.
Checks and audits had been completed on the quality of the service, but these had not identified the shortfalls found at this inspection.
People were reassured an activities co-ordinator was being recruited but this was taking a long time and staff would be supporting them to take part in activities.
Managers do checks but missed problems with care records, risks, medication, and infection control.
The audits had not identified the inconsistent guidance in care plans, management of potential risks to people and shortfalls in medicine management.
Safety issues include poor medication records, infection risks from dirty areas, and incomplete risk assessments.
Medicines were not always managed safely... We were not assured that the provider was promoting safety through the layout and hygiene practices of the premises.
No activities coordinator in place yet, so staff cover basic engagement which adds to their workload.
an activities co-ordinator was being recruited but this was taking a long time and staff would be supporting them to take part in activities.
AI Generated
Last inspected: April 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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