Last updated: 10 February 2026
"Staff feel supported like a big family with good training and varied activities, but no registered manager and gaps in medicines records hold it back."
Records lacked detail for covert medicines and PRN use like painkillers and creams; recommendation to review best practice.
Staff described managers as supportive like a big family, people and staff felt able to raise concerns.
There were enough staff to meet needs generally, with some agency use but improved recruitment processes and continuity.
Staff completed relevant training, positive feedback on induction, and competency assessments in place.
Service did not have a fully registered manager in post, ongoing recruitment and management restructure with continued breach of regulation 17 for governance.
Activity coordinator and staff supported range of activities including community outings, religious services, and social engagement.
No permanent manager in place yet, and quality checks are not strong enough so problems are missed.
At the time of the inspection the service did not have a manager registered with the Care Quality Commission... systems of checks and audits were not robust enough
Gaps in medication records for hidden tablets and as-needed painkillers mean staff guidance is not always clear.
Records did not always contain enough detail about how to support people with covert medicines... Records for medicines and creams that people need 'as and when', such as paracetamol for pain, did not always contain enough detail
Some agency staff used, which occasionally affects the mix of skills on shift.
We noted occasions where the skill mix had not been balanced due to agency staff, but these were generally exceptional circumstances
AI Generated
Last inspected: November 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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