Last updated: 10 February 2026
"Engaging activities and effective training, but medicines safety issues and gaps in staff recruitment hold it back."
The provider did not always manage medicines safely... people prescribed high risk medication, did not have appropriate risks assessments in place... missing administration records for some medicines.
Some staff we spoke to did not always feel valued or supported. Staff told us they were not allocated regular breaks during their shifts. Some reported working up to 12 hours straight without a break.
Safe recruitment checks had not always been completed. For example, gaps in employment for some staff had not been explored. In addition, not all staff had received regular supervision or annual appraisals in line with the provider’s policy.
Staff were trained to use the Positive Behaviour Support (PBS) framework... Staff were able to explain this approach and provided examples where its use had led to positive outcomes for people.
Feedback from staff was mixed. Some staff acknowledged the positive changes made since the new manager was in post, while others felt there were still improvements needed in relation to management style and action taken by leaders.
One person described a weekly “Shop and cook” activity... people described how staff took them on days out... gardening... some people were part of a local 5 a side football team... support the local foodbank.
Hiring missed checks like gaps in staff work history, and not all staff get regular check-ins or yearly reviews.
Safe recruitment checks had not always been completed. For example, gaps in employment for some staff had not been explored. In addition, not all staff had received regular supervision or annual appraisals in line with the provider’s policy.
No risk checks for high-risk medications, when-needed drugs, or skin creams that could catch fire, plus gaps in medicine records.
people prescribed high risk medication, did not have appropriate risks assessments in place... for some people prescribed ‘when required’ medication, guidance was either missing... Risk assessments were also not in place for people prescribed emollient creams... missing administration records
Staff work up to 12 hours straight without breaks and say they do not always feel valued or supported.
Staff told us they were not allocated regular breaks during their shifts. Some reported working up to 12 hours straight without a break... some staff we spoke to did not always feel valued or supported.
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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