Last updated: 10 February 2026
"Staff had good training and were competent in care, but poor recruitment checks, unsafe medicines management and unapproachable leaders held it back."
The systems to manage people’s medicines were not always safe, including systems around storage, ordering, record keeping and care planning. Staff had not always taken proactive action to ensure people had a sufficient supply of medicines, which had resulted in some people not receiving their medicines as prescribed.
There was mixed feedback from staff as to whether they felt supported in their role. They told us there was sufficient training, but some staff felt they were unable to raise issues with senior leaders.
The provider failed to ensure they completed robust recruitment checks when employing new staff. This was a breach of Regulation 19 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Staff had received training appropriate to their role. We observed that staff were competent when supporting people with their everyday care needs.
Staff told us they did not always feel supported in their role and that they felt unable to raise issues with senior leaders as they were not always available or approachable.
New staff were hired without proper criminal record checks and job references, which means you might work alongside unchecked colleagues.
We reviewed 3 staff recruitment files and found each contained incomplete information. This included, missing reference checks from previous employment... For 2 staff, the provider could not evidence that a certificate from the Disclosure and Barring service (DBS) had been obtained prior to staff working with people.
Medication systems had problems like poor ordering and records, so some people missed their prescribed medicines.
The systems around ordering and returning medicines were not robust, resulting in some people running out of their prescribed medicines due to a lack of supply.
Staff felt senior leaders were not always available or approachable to raise issues or get support.
Staff told us they did not always feel supported in their role and that they felt unable to raise issues with senior leaders as they were not always available or approachable.
AI Generated
Last inspected: August 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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