Last updated: 10 February 2026
"Staff feel supported by approachable leaders with good training and supervisions, but no activities programme and medicines errors hold it back."
We found a lack of oversight of medicines, and problems with medicines stock amounts and medicines administration records; 4 of 6 air mattresses incorrectly set despite checks recorded as correct.
Staff were positive about going to the management team if they had concerns; feedback from staff about the leadership team was all positive, staff felt supported.
There appeared to be sufficient staff deployed; staff thought there were sufficient staff deployed across all shifts, but people felt there were not always enough staff at weekends.
Staff participated in regular 1-1 supervisions and accessed a wide range of training courses; staff completed training in safeguarding and updated this regularly.
Feedback from staff about the leadership team was all positive, staff felt supported and described leaders who were approachable, but audits did not always identify problems such as medicines inaccuracies.
No activities, engagement programmes, creative approaches, or activities coordinator mentioned in the report.
Lots of mistakes in giving medicines like missing painkillers for weeks and wrong stock counts not spotted by bosses audits.
We saw evidence of medicines not being given as prescribed. Two records reflected medicines that had been prescribed to be taken multiple time daily frequently omitted. A person prescribed regular paracetamol did not have a lunchtime dose for weeks.
No activities programme or coordinator so the role is mostly routine personal care.
No activities, engagement or creative approaches mentioned at all in the report.
Bosses audits missed big problems like medicine errors and wrong air mattress settings leaving people at risk.
None of the issues we found with medicines had been noted by the management team during any audits; incorrect weight settings on air mattresses had not been noted in any audits.
AI Generated
Last inspected: July 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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