Last updated: 9 February 2026
"Staff feel respected and supported with good training and enough people on shift, but poor management oversight and basic activities hold it back."
One person's MARs did not accurately reflect how their creams should be applied. Creams were not consistently dated when opened.
Staff felt respected, supported and valued by senior staff which supported a positive and improvement-driven culture.
There were enough staff, who knew people well, to meet people's needs and keep them safe.
Staff were supported by a system of induction, training and refresher training. This included training in positive behaviour support.
Systems to assess, monitor and improve the quality of the service were not established. This was a breach of regulation 17.
People were supported to develop their interests and go out regularly. Staff supported people to go shopping and pursue their interests in the local area.
Manager in post but oversight gaps like poor record-keeping and missing mental capacity paperwork hold back strong leadership.
The service did not maintain complete and accurate records in respect of all service users. Systems to assess, monitor and improve the quality of the service were not established.
Just basic outings like shopping and local interests, no activities coordinator or special programmes to make work more varied and fun.
Staff supported people to go shopping and pursue their interests in the local area.
Medication recording issues with creams not always dated or accurately noted, so safety processes have minor gaps.
Creams were not consistently dated when opened. This meant we could not be assured they remained effective and safe to use.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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