Last updated: 10 February 2026
"Supportive leaders and strong teamwork make staff feel valued, but staffing shortages and medication errors limit care quality."
There had been a recent increase in medication errors, which had been determined to be due to more frequent use of agency staff. ... We found some concerns with medicines practice within the service. For example, medicines administration records (MAR) had not been fully completed.
Staff were happy in their roles, and most staff felt supported. ... Staff reported that they feel there is a good team within the services, including leaders. One staff member told us “The staff are very hard working, there’s some really good teamwork, and most people are absolutely amazing.”
Staff, and some relatives felt there wasn’t always enough staff. ... One staff member told us “I feel quite guilty, because I feel like I’m not able to give the best standard of care I’ve always given at the moment and that upsets me.”
Training was provided to staff to enable them to complete their role to a good standard, however there were some gaps where there had been a delay in the provider sourcing and organising training.
Staff mostly felt positively about leaders, one telling us “I think since the [registered] manager has been here, they have been really supportive” and “I’ve seen a lot of positive happen since [registered manager] has started.”
The provider facilitated a range of activities, including day trips, and a festival called ‘Oakfest’ which included live music, games and food which people using the service attended.
Not enough frontline staff so you can only do basic care tasks and feel guilty about not giving the best personalised care, with more agency use causing medication mix-ups.
Staff, and some relatives felt there wasn’t always enough staff... One staff member told us “I feel quite guilty, because I feel like I’m not able to give the best standard of care I’ve always given at the moment and that upsets me.”
Medication errors and incomplete records mean safety practices are not always reliable, even though some issues get fixed quickly.
There had been a recent increase in medication errors... medicines administration records (MAR) had not been fully completed, sometimes missing the balance counts or staff signatures.
Gaps in training and delays mean you might miss out on full skills development for specialist needs.
Training was provided to staff to enable them to complete their role to a good standard, however there were some gaps where there had been a delay in the provider sourcing and organising training.
AI Generated
Last inspected: January 2018
Management Quality
Well-led: Good
Direct feedback from current and former employees

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