Last updated: 10 February 2026
"Strong management oversight, positive culture with supported staff, good training and varied activities, but recent increase in agency nurses."
Several medicines audits were in place including a daily check of medicine administration records (MAR), weekly audits by the clinical lead and a monthly audit by the registered manager... An external pharmacy audit dated September 2022 resulted in a 100% compliance in medicines management.
The service was well-led with an embedded positive culture. Managers and staff were open, transparent and welcoming visitors. Staff were supported well and knew their roles and responsibilities.
Records and observations showed there were enough staff to keep people safe and meet their individual needs in a timely way. There had been a recent increase in agency nurses deployed at the service however, during the inspection a further two regular nurses had been recruited.
A rolling programme of mandatory training was in place and up to date. Additional training was in place for staff who undertook specific care tasks such as catheter care and percutaneous endoscopic gastronomy (PEG) feeding.
The registered manager had full oversight of the service through a structured schedule of audits which checked all aspects of the quality and safety of the service.
A full and varied programme of activities was in place throughout the week. The activities coordinators supported people to plan their day to day activities.
Staffing is adequate with enough staff to meet needs, but there has been a recent increase in agency nurses.
There had been a recent increase in agency nurses deployed at the service however, during the inspection a further two regular nurses had been recruited.
Only standard mandatory training and some specialist task training, no funded qualifications or career development.
A rolling programme of mandatory training was in place and up to date. Additional training was in place for staff who undertook specific care tasks such as catheter care and PEG feeding.
Activities programme is varied with coordinators, but no specialist or innovative approaches mentioned.
A full and varied programme of activities was in place throughout the week. The activities coordinators supported people to plan their day to day activities.
AI Generated
Last inspected: November 2022
Management Quality
Well-led: Good
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp