Last updated: 9 February 2026
"A positive open culture where staff feel proud and enough staff overall, but no activities or programmes and unsafe medicines and risk management hold it back."
Medicines were not always managed safely; people's care plans and risk assessments did not always reflect current needs, breach of Regulation 12.
There was a positive and open culture in the service; staff were proud of working for the service and of the positive impact it had on people's lives.
There are enough staff, but staff planning is poor; vacancies in the senior team responsible for rota planning meant staffing was not always planned effectively.
Staff had received an attendance certificate for training in enteral feeding, but their competency had not been assessed by a suitably trained professional to ensure they were competent.
Staff told us they did not feel their feedback and ideas were listened to; when they raised concerns, although action was taken to address individual incidents, these improvements were not embedded, and issues continued to occur.
No activities, engagement programmes, creative approaches or coordinator mentioned; report describes only routine personal care, risks, medicines and staffing.
Risks from behaviours, health needs, equipment and medication errors are not always fully assessed or managed safely.
Risks in relation to people's behaviour needs, health and nutrition needs, equipment and medicines were not always managed safely. Medicines were not always managed safely.
Staff have training certificates but no checks to prove they can do specialist tasks like tube feeding safely.
Staff had received an attendance certificate for training in enteral feeding, but their competency had not been assessed by a suitably trained professional to ensure they were competent to support people with this type of feeding.
Enough staff overall but poor rota planning from senior vacancies means shifts do not always match people's needs.
Vacancies in the senior team responsible for rota planning, as a result staffing was not always planned effectively to meet the needs of the mix of people attending the respite service. A member of staff told us, 'There are enough staff, but staff planning is poor.'
AI Generated
Last inspected: November 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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