Last updated: 10 February 2026
"Staff feel supported in a friendly team atmosphere, but unsafe medicines handling and insufficient night staffing hold it back."
Medicines optimisation Score:1. People were at risk of not receiving their medicines safely or as prescribed... medicine administration records were not always clear... no policy or protocol for over-the-counter medicines... audits... not effective.
Staff felt able to raise concerns, and they had confidence in their managers to take action. Staff felt their wellbeing was important... Staff reported that they felt they were a good team, who worked together well... friendly atmosphere.
Safe and effective staffing Score:2. The provider did not always make sure there were enough qualified, skilled and experienced staff... we were not assured that the deployment of overnight staffing was sufficient... no provision of qualified senior staff during nighttime hours.
The provider did not ensure staff who administered medicines at night had received medicines training and had their competencies checked... There was some additional training needed in relation to safeguarding children.
This service was in breach of legal Regulation 17, good governance. This was in relation to oversight of the service. Where there were systems in place, we were not assured that they were always being completed to a good standard.
People using the service who could communicate verbally... had more input into activities... people who could not communicate... were not supported to do activities they may want to, and at times, were left out of activities.
Night shifts lack enough staff and no trained senior on duty, making them risky and stretched.
we were not assured that the deployment of overnight staffing was sufficient... no provision of qualified senior staff during nighttime hours.
Staff give meds unsafely with unclear handwritten records and no rules for extra or shop-bought medicines.
People’s medicine administration records were not always clear as staff had recorded handwritten entries which were not legible... failed to have a policy or protocol for over-the-counter medicines.
Training gaps mean night staff are not checked on giving meds and miss child safeguarding training.
staff who administered medicines at night had received medicines training and had their competencies checked... additional training needed in relation to safeguarding children.
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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