Last updated: 10 February 2026
"Staff feel valued in an open culture with good training, activities and staffing levels, but inconsistent audits missed medication record issues."
Not all Medication Administration Records (MARs) had been written in accordance with the provider's policy; several had only one staff signature.
The registered manager led by example and promoted an open, honest and inclusive culture. Staff told us the registered manager was honest, acknowledged and then sorted problems.
Staffing levels were appropriate to meet people's needs in a timely way.
Staff completed an induction and received refresher training. Learning and best practice was embedded through supervision and appraisals.
Audits were completed but had not identified or addressed all shortfalls in quality. Policies were in place but not always followed.
Activities included using the computer, baking, exercise classes, crafts and participating in special events including buffets for royal weddings, religious festivals and Pride.
The manager's quality checks were inconsistent and missed issues like single signatures on medication sheets.
Audits were completed; however, they were inconsistent and did not always identify shortfalls in quality or confirm when problems had been resolved.
Staff numbers are enough to meet needs safely but no info on team stability or agency use.
Staffing levels were appropriate to meet people's needs in a timely way.
Only basic induction, refresher training and supervisions with no specialist courses or qualifications funded.
Staff completed an induction and received refresher training. Learning and best practice was embedded through supervision and appraisals which also helped identify further training needs.
AI Generated
Last inspected: November 2018
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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