Last updated: 10 February 2026
"A brilliant staff team with good rapport and enough staffing, but safety issues with medicines, infrequent supervisions and training gaps hold it back."
The service was in breach of legal regulation in relation to people’s safe care and treatment relating to medicines and risk management, safeguarding/ MCA and staff supervision.
Staff worked well together and we observed staff respected each other and had a good rapport. Staff said, “The staff team are brilliant” and “How brilliant are the staff here? They are amazing.”
The provider ensured there were enough staff to provide people with the care and support they required. People said, “I think there’s always plenty of staff.”
Staff training completion for DoLS MCA was very low and staff had a lack of knowledge regarding DoLS MCA. Some gaps in training completion and staff knowledge were evident.
Staff supervisions were very infrequent and some staff told us they did not feel supported. There was no evidence of clinical supervisions for nurses during 2025.
There were activities on offer each day and people told us they enjoyed these. People enjoyed a range of activities on offer each day.
Medication not always managed safely, like high storage temperatures and missing checks on as-needed doses.
Temperatures of treatment rooms... were not always monitored daily. One of the treatment rooms was routinely above 25 degrees... PRN medicines did not have up to date protocols.
Staff not getting regular supervisions, so some say they do not feel supported.
Staff supervisions were very infrequent and some staff told us they did not feel supported. There was no evidence of clinical supervisions for nurses during 2025.
Gaps in training on mental capacity and legal protections, with low completion and poor staff knowledge.
Staff training completion for DoLS MCA was very low and staff had a lack of knowledge regarding DoLS MCA.
AI Generated
Last inspected: July 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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