Last updated: 10 February 2026
"Staff feel able to raise concerns openly with enough staff on duty, but unsafe medicines management and poor oversight hold it back."
Medicines were not always managed safely. The service did not always report safeguarding concerns to the local authority safeguarding team or notify the Commission.
Staff consistently told us that they felt able to raise any concerns openly with leaders within the service and were assured that their voices and concerns would be heard.
We observed sufficient staff on duty at all times. Staff told us there were not always enough staff to safely support people, especially overnight.
Some said the training they had received supported them to fulfil their role, others felt they required more in-depth training. Staff also advised they did not receive regular supervision or appraisal.
There was a significant lack of oversight at the service and quality assurance systems and processes were not always effective.
People and relatives told us there were lots of activities going on that they were able to join in, if they so wished.
Medication isn't handled safely with unlocked creams and incomplete records, and some abuse concerns weren't reported, making shifts riskier for you.
several topical creams stored in people’s bedrooms in unlocked cupboards. This was not consistent with safe storage... accidents and incident forms highlighted several safeguarding incidents that had not been reported
Managers lack proper oversight so incidents and risks aren't checked or fixed early enough.
There was a significant lack of oversight at the service... widespread concerns relating to governance and quality assurance
Training covers basics but staff say they need more depth for meds and complex needs, plus no regular check-ins.
Staff told us they did not have enough training to feel competent in completing medicines... Staff also advised they did not receive regular supervision or appraisal
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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