Last updated: 10 February 2026
"Varied activities and programmes stand out, but frequent medicines errors, poor training, and reliance on agency staff hold it back."
Medicines were not always managed safely. Multiple medicine errors had occurred... Staff were not aware of their responsibilities to prevent, identify and report abuse.
Staff felt they could not challenge the way leaders did things, even when staff knew things were wrong. Staff reported issues were brushed under the carpet and not dealt with correctly.
There was a shortage of permanent staff to cover shifts, and the service relied on agency staff to ensure there were sufficient numbers of staff to meet people's needs.
Staff did not always have sufficient training to be able to meet people's needs. For example, a number of staff did not have evidence of moving and handling training.
There was a lack of leadership within the service. Staff felt they could not challenge leaders, even when they knew best practice was not being followed.
People experienced a wide and varied programme of opportunities... scrap books which showed activities people had participated in. Some of these included days out to the Sealife centre and a local bird sanctuary, a trip to the seaside.
Medication errors happen often and checks are not done properly by two staff.
Medicines were not always managed safely. Multiple medicine errors had occurred. For example, staff did not always ensure medicines which were being booked in, were competently checked by 2 staff members.
Not enough permanent staff so they rely on agency workers a lot.
There was a shortage of permanent staff to cover shifts, and the service relied on agency staff to ensure there were sufficient numbers of staff to meet people's needs.
Training is often out of date or missing for key skills like moving and handling.
a number of staff did not have evidence of moving and handling training. Another staff member was found to have significant amounts of out of date training.
AI Generated
Last inspected: March 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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