Last updated: 10 February 2026
"Staff feel positive with good deployment and activities programmes, but major training gaps and unsafe medicines management hold it back."
Medicines were not always managed safely. We found several examples of where the stock count of medicines was incorrect meaning people may have been given more or not enough of their prescribed medicines.
Staff were positive about working at the service and the improvements that had been made and were ongoing.
Staff were deployed to meet people's individual needs and safety. The staff allocation and rota confirmed staff were deployed to meet people's additional support hours as planned.
The provider had not ensured staff had completed all relevant training. For example, the providers positive behaviour support policy stated all staff should have first aid training. However, records showed only 10 out of 40 staff had completed first aid training.
Senior management oversight and leadership needed strengthening and developing. Systems and processes were not consistently effective in maintaining effective oversight of the safety and quality of the service.
People had access to a full programme of activities which were overseen by staff. The home had a games room which they used to show films of people's choosing and played pool.
Staff training has big gaps like only 10 out of 40 having first aid and no up-to-date training records so skills can't be trusted.
records showed only 10 out of 40 staff had completed first aid training. The provider's training matrix was not up to date, nor reflective of staff's current training and expired training.
Medication stock counts are often wrong and records incomplete so people might get too much or too little medicine.
We found several examples of where the stock count of medicines was incorrect meaning people may have been given more or not enough of their prescribed medicines.
Managers' audits and checks missed safety issues like dirty areas and medicine problems so oversight is weak.
Systems and processes that monitored quality and safety required improvement. For example, the audits and checks that monitored medicines management, health and safety, infection control and records had not identified the shortfalls we identified during this inspection.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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