Last updated: 9 February 2026
"Staff feel supported by management and confident in teamwork, but reactive leadership, no activities programme and gaps in medicines records hold it back."
Young people's medicines were not always recorded accurately meaning it was not always possible to confirm if a young person had taken their medicines... There were some gaps in MARS sheets.
Staff we spoke with were positive about the support they received from the management team. A member of staff said, "I feel confident other staff are always on hand... They are supportive."
there had been a period where numerous agency staff were employed to maintain staff numbers. The provider was recruiting staff, in a safe way, to ensure their reliance on agency staff was reduced and better consistency of care maintained.
The provider's management of the service was reactive, and although there was evidence of some positive changes recently, these were mostly driven by the findings from another regulator that had inspected the service prior to our inspection.
No creative activities, engagement programmes, or distinctive approaches mentioned; report focuses solely on routine safety, risk management, boundaries, and anxiety responses.
No activities programme or creative stuff mentioned, so the role is mostly routine care and handling incidents.
No creative activities, engagement programmes, or distinctive approaches mentioned in the report.
Management reacts to problems from regulators instead of planning ahead proactively.
The provider's management of the service was reactive, and although there was evidence of some positive changes recently, these were mostly driven by the findings from another regulator.
Medication records have gaps and aren't always checked by two staff, making safety less reliable.
Handwritten entries of medications prescribed on Medication administration records (MARS) were not always verified as correct by two staff signatures... some gaps in MARS sheets.
AI Generated
Last inspected: March 2020
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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