Last updated: 9 February 2026
"Staff feel supported and enjoy their roles with good training and supervisions, but poor risk management and medicines safety need attention."
The service was in breach of legal regulations in relation to risk management and medicines... Risk assessments relating to the health, safety and welfare of people were not always completed, or where they had been completed, did not always contain enough detail.
The service cared about and promoted the wellbeing of their staff and staff mostly told us they felt supported and enjoyed their roles.
Staff mostly felt there were enough staff, however felt there were times when they were stretched as a team... use of agency staff was kept to a minimum with regular agency staff being used when needed.
There was an induction and training programme in place with regular supervisions for staff. Overall staff received training relevant to their role and had their competency assessed.
Governance arrangements were in place, but these were still not always operated effectively to monitor and improve the quality of the service.
Comments from relatives included... “[Person] enjoys the activities, especially the flower arranging, dancing and colouring... lots of activities, they go out, music, bingo, all sorts of things go on in there.”
Risk plans often miss details or are not done for things like falls and choking, and as-needed meds lack proper guides for staff.
Risk assessments relating to the health, safety and welfare of people were not always completed, or where they had been completed, did not always contain enough detail to guide staff... Medicines which were prescribed ‘as required’ did not always have protocols in place.
Leaders and checks miss some big issues like gaps in risk plans and medicine records.
Governance arrangements were in place, but these were still not always operated effectively... Audits were completed but failed to identify all of the concerns we found during our assessment.
Staff levels are okay but feel stretched at times because of the building layout, even with minimal agency use.
Staff mostly felt there were enough staff, however felt there were times when they were stretched as a team... the layout of the building, it can be a stretch to get to places.
AI Generated
Last inspected: February 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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