Last updated: 10 February 2026
"Stable staff retention and a supportive culture with good training, but weak governance and unsafe medicines management are concerns."
Medicines were not always managed safely... guidance for staff about when to give these medicines was unclear and inaccurate. Guidance had the wrong dosage and instructions.
Staff felt respected, supported and valued by senior staff. Staff felt able to raise concerns with managers without fear of what might happen as a result.
The service had enough staff... Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.
People were supported by staff who had received relevant and good quality training in evidence based practice. Staff confirmed they received regular supervision and thought they were well supported.
Governance processes had not been effective in identifying shortfalls found during this inspection.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Managers missed problems like wrong medication details in their quality checks, so oversight is not strong.
Governance processes had not been effective in identifying shortfalls found during this inspection. A medication quality walk round by staff in January 2022 did not find the shortfalls found at the inspection.
Medication records were inaccurate with wrong dosages and no clear instructions on when to use them.
Records of medicines prescribed were not accurate. One person had four 'when required' medicines recorded... There were no protocols for these medicines... Guidance had the wrong dosage and instructions.
Activities are regular and varied like baking and outings but lack structured goals or specialist programmes.
Though people learnt new skills further improvement was required to develop goals and plans for staff to follow consistently... There were no structured plans for staff to support people consistently to achieve their goals.
AI Generated
Last inspected: April 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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