Last updated: 10 February 2026
"Staff feel valued and supported with engaging activities, but incomplete recruitment records and gaps in staff training need addressing."
During our assessment we identified some areas relating to the recording of staff pre-employment checks and people's 'as required' medicines which required improvements... Some people's 'as required' medicine protocols were not sufficiently comprehensive.
Staff told us, they felt valued and supported by the management team... Staff were very positive about the leadership understood the roles in the service and who they needed to ask for support on different matters.
We observed sufficient staffing in place throughout the inspection and found staff to be appropriately skilled... During the onsite visit there were enough staff on duty to support people with their needs.
Some staff needed to complete some of the provider's required training. The registered manager had identified this training requirement in the last 2 registered manager audits but had not addressed this at the time of the inspection.
concerns around some elements of the governance systems which resulted in a breach of regulation 17... Improvements were needed to strengthen internal quality monitoring procedures. The shortfalls in recruitment records had not been identified by the provider.
We observed people being supported with a head message, a group music session, going out in the community and playing with a balloon... People were offered a choice of drinks at mealtime and when people requested a drink throughout the inspection, they were supported to get one.
Hiring records for staff are incomplete, so it is not clear if all the right checks were done on new team members.
The registered manager did not have effective oversight of the staff recruitment process. The provider's recruitment team had not ensured comprehensive recruitment records were available for each staff member employed.
Some staff have not completed their required training, even after the manager spotted it in audits months ago.
Some staff needed to complete some of the provider's required training. The registered manager had identified this training requirement in the last 2 registered manager audits but had not addressed this at the time of the inspection.
Instructions for giving as-required medicines are not detailed enough and the managers' own medicine checks are out of date.
Some people's 'as required' medicine protocols were not sufficiently comprehensive to ensure staff would always know how and when to administer people's occasional medicines. The deputy manager had been giving medicines without an up-to-date competency assessment in place.
AI Generated
Last inspected: April 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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