Last updated: 10 February 2026
"Stable staffing with no agency use, good training and activities, but unsafe medicines management and weak audits held it back."
Medicines were not consistently managed safely... We found three counts of people's medicines to be incorrect. Medicines were not always stored and administered safely. This is a breach of regulation 12.
We received mixed feedback about the culture of the service. Some staff expressed concerns that the wider implications of the lift being out of service had not been appreciated by the management team.
The service had a consistent staff team and did not use any agency staff. Staffing rotas showed fairly consistent staffing levels.
Staff received training to perform their role. Staff gave positive feedback about the training they had received at the service.
Audits did not always identify issues at the service. Systems were not in place to effectively monitor and ensure the safety of the service. This was a breach of regulation 17.
The service had activities coordinators in place who supported people in group activities and a one to one basis. During the inspection, children from a local school sang Christmas carols which was enjoyed by people.
Medication handling had issues like wrong stock counts and missing instructions for as-needed meds, making it risky to give the right doses.
We found three counts of people's medicines to be incorrect... Protocols for medicines to be given 'when required' were not in place on the new system.
Managers' audits missed safety problems and improvements happened too slowly.
Audits did not always identify issues at the service... The provider was slow to make progress in completing improvements at the service.
Some staff felt bosses did not get how the lift problems made their daily work tougher.
Some staff expressed concerns that the wider implications of the lift being out of service had not been appreciated by the management team.
AI Generated
Last inspected: March 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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