Last updated: 9 February 2026
"Staff feel supported with good training, but medication safety issues and ineffective governance hold it back."
People's medication was not always managed safely. The provider could not be assured people were receiving their medication as prescribed... Risks to people's safety were not always monitored and managed effectively... breach of regulation 12.
Staff felt supported to do their job and had meetings and supervisions... 'If I bring something up in a team meeting management do listen to me.' Relatives... 'seems very well run we are happy with everything.'
The registered manager and provider were continuing to recruit staff to fill vacancies. The registered manager used agency staff who knew people. This helped to ensure there were enough staff on shift... 'There is enough staff. Some we see regularly...'
Staff had received training in epilepsy awareness, positive behaviour support, learning disability awareness and autism. New staff were supported... through an induction... enrolled onto the Care Certificate.
The provider's governance systems were not consistently effective. A range of audits and checks had been completed however, they had not identified some of the issues we found during the inspection.
People were involved in making Christmas cards... spending time in the garden... choosing and preparing their meals... staff supporting one person to make a call to their friend.
Medication errors mean people might not get their meds right, and risks like skin problems or weight checks are not always handled well.
some medications prescribed as a regular dose were not always being given... Care plans had not been developed to guide staff on how to care for one person who had been identified as having poor skin health... monitoring of people's weight was not consistently completed.
No activities coordinator or regular programme, so the job is mostly routine care with basic stuff like making cards or garden time.
People were involved in making Christmas cards... spending time in the garden... choosing and preparing their meals.
Vacancies lead to agency staff covering shifts, even if they know the residents.
The registered manager and provider were continuing to recruit staff to fill vacancies. The registered manager used agency staff who knew people.
AI Generated
Last inspected: February 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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