Last updated: 9 February 2026
"A stable staff team with open communication feels valued, but weak governance and incomplete safety records like medicines and repositioning need fixing."
Medicine related records for 'when required' medicines were not always complete and staff did not always have associated protocols... People who required repositioning... did not always have an up-to-date record.
There was a stable staff team at the service with little turnover. Staff told us it was a good place to work and there was open communication. One staff member said, "We are a good team and focus our work on the people we support."
The required pre-employment checks had not always been undertaken and gaps in staff employment histories had not always been explored. Risk assessments had not always been undertaken when the provider had been unable to gather reference checks.
The provider had failed to ensure their systems to monitor and improve the quality and safety of the service were fully embedded and operating effectively. This was a continued breach of regulation 17 (Good governance).
Gaps in the home's quality checks mean some safety issues like incomplete records were missed until inspectors pointed them out.
The concerns we raised in relation to the recording of 'when required' medicines, recruitment and repositioning had not been addressed through the providers own systems.
Recruitment checks on new staff sometimes miss bits, like gaps in work history not followed up.
The required pre-employment checks had not always been undertaken and gaps in staff employment histories had not always been explored.
Some medication records for pain relief and similar are incomplete, and repositioning charts not always up to date.
Medicine related records for 'when required' medicines were not always complete... People who required repositioning to maintain their skin integrity did not always have an up-to-date record.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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