Last updated: 10 February 2026
"Staff feel respected and supported with good training and a family-like culture, but medicines incidents are poorly managed without sharing lessons learned."
Staff recognised medicines incidents but did not report them appropriately. The service did not manage medicine incidents well and were unable to show us evidence of sharing lessons learned with the wider team.
There was a transparent, open and honest culture between people, those important to them, staff and leaders. Staff felt valued and empowered... 'We try and make it like a little family.'
The service had enough appropriately skilled staff to meet people's needs and keep them safe. At times the service had used agency staff but had ensured that the same agency staff members worked at the service.
Managers ensured that staff had relevant training, regular supervision and appraisal. The registered manager had undertaken additional training in order to train the staff around supporting people with distressed behaviours.
Staff felt respected, supported and valued. The registered manager took immediate action to address some of the concerns we found at the inspection.
People chose the activities they took part in... engaged in varied activities ranging from music, dancing... baking... shopping... themed weeks... community outings.
Medication mistakes aren't followed up well, with poor recording and no sharing of lessons with the team.
The service did not manage medicine incidents well and were unable to show us evidence of sharing lessons learned with the wider team.
Staffing is adequate but sometimes relies on agency workers.
At times the service had used agency staff but had ensured that the same agency staff members worked at the service to enable people to be supported by staff who had got to know them.
Oversight systems still have gaps and aren't fully reliable for monitoring quality and incidents.
Governance systems did not always ensure people were kept safe and received a high quality of care... still in breach of Regulation 17.
AI Generated
Last inspected: February 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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