Last updated: 10 February 2026
"Enough staff and a supportive culture with engaging activities, but unsafe medicines management and ineffective oversight hold it back."
Medicines had not always been managed safely... The protocols for PRN medicines were not person centred... Records were not always accurate.
Staff told us they felt supported by the registered managers and they could speak to them about any concerns they may have.
There were enough staff to meet people's needs... Staff told us there were enough staff and any absences were usually covered by their own staff or regular agency staff.
Per 2019 comprehensive inspection: New staff completed an induction which included core training... Staff told us they had regular training and the support needed to carry out their role.
Quality and assurance systems were not effective. The oversight of the service by the provider had not identified the shortfalls found at this inspection.
There was an activities co-ordinator in post. They discussed how they tried to cater to people's interests, and they had just started working in the garden with people.
Medication guidance is unclear and not person-specific, risking wrong doses or people missing meds when needed.
The guidance for staff about when to give 'when required' medicines was not accurate or person centred, placing people at risk of not receiving their medicine when they needed it.
Managers' audits and checks miss big issues like poor risk guidance and medication problems.
Checks and audits had been completed, but these had not identified the shortfalls found at this inspection.
Only standard induction and mandatory training, no specialist courses or funded qualifications.
Per 2019 comprehensive inspection: New staff completed an induction which included core training and working alongside experienced staff... Staff told us they had regular training.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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