Last updated: 10 February 2026
"Well-trained staff and enough on shift create a calm atmosphere with varied activities, but no registered manager and medicines errors undermine safety."
Medicines administration error identified during inspection; incomplete records for fluid charts, repositioning, and one person's medicines not accurately entered.
Staff positive about regional support manager: '[The regional support manager] is very supportive and measured, which really helps the team'; staff engagement survey mostly positive.
There were enough staff to meet people's needs; atmosphere calm and staff had time to chat with people.
Staff, including agency staff, were well trained and received a good induction; structured and comprehensive induction with face-to-face and online learning.
No registered manager in post as they had left the previous week; ongoing breach of regulation 17 on governance and oversight of records.
Activities were varied and people were positive; activities co-ordinator ran group activities, school visits, community outings, and one-to-one sessions.
No permanent manager in post, so leadership and oversight of daily records feels unstable.
At the time of our inspection there not a registered manager in post as they had left the service the previous week without notice.
Medication errors and incomplete health records like fluid and repositioning charts mean safety processes are not fully reliable.
One person's medicines had not been accurately entered onto the system... A medicines administration error was identified during our inspection.
Ongoing gaps in monitoring records like continence and pressure care make it hard to ensure consistent care.
Food and fluid charts, repositioning charts and records monitoring people's continence were not always completed accurately and were not effectively monitored.
AI Generated
Last inspected: August 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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