Last updated: 9 February 2026
"Enough staff to meet needs and a supportive culture for workers, but unsafe medicines handling and poor follow-up on audits hold it back."
Medicines were not always managed safely. We observed a staff member failing to follow safe medicine administration procedures.
Staff told us they felt well supported and could approach the registered manager for advice and support.
There were enough staff to meet the needs of people, at the time of the inspection. Most people had 1 to 1 and 2 to 1 support to meet their needs, we saw this being delivered throughout the inspection.
Regular audits were completed and identified staff medicine competencies required updating, to ensure staff continued to administer medicines safely. However, these were not acted on in a timely way.
Governance systems were not always robust and actions identified were not always followed up in a timely way.
Lots of work had taken place so people were supported to go on holidays and day trips, according to their individual needs and wishes.
Medication not always handled safely with staff seen not following procedures, making shifts riskier.
Medicines were not always managed safely. We observed a staff member failing to follow safe medicine administration procedures and failing to follow the provider's own medicine policy.
Risk plans for things like smoking or sore skin lack clear details for staff on safe care.
Some care plans and risk assessments did not contain important information, including clear and detailed instructions for staff on how to provide safe care and manage people's known risks. For example, risks from smoking and risks in relation to sore skin.
Skills checks for staff on medication not updated in good time after audits flag them.
Regular audits were completed and identified staff medicine competencies required updating, to ensure staff continued to administer medicines safely. However, these were not acted on in a timely way.
AI Generated
Last inspected: August 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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