Last updated: 10 February 2026
"Staff feel better supported with improved culture and team work plus good training and activities, but recruitment misses key legal checks and medicines records are inconsistent."
Improvements to safeguarding and safe care but continuing premises breach, new recruitment breach, medicines records inconsistent with weak PRN protocols and outdated policies/audits.
Significant improvements to working culture, staff now work as a team, feel better supported especially with more seniors, and say it's a better place to work.
Sufficient staff deployed to meet needs and no longer in breach of staffing but new recruitment breach with files missing legally required info like past conduct with vulnerable adults in 2 files reviewed.
Mandatory training completed with supervisions and appraisals in place but some staff pending on safeguarding, MCA, choking training and further work needed on additional trainings.
Interim manager approachable, fair, and driving improvements to culture and service but governance breach continuing with audits failing to identify risks like environment and recruitment issues.
Daily activities schedule displayed plus external entertainers and musical activities with two senior staff recently appointed to lead provision.
Hiring records miss key legal checks like past job conduct with vulnerable people for some staff, making recruitment unsafe.
The interim manager was not aware it is a legal requirement to obtain evidence of applicants conduct and reasons for leaving all previous jobs with children or vulnerable adults. This level of information was missing in 2 staff files we reviewed.
Medication records are inconsistent and as-needed medicine guides lack detail, plus policies are outdated.
Information about medicines was not consistently documented, including current prescribed medicines, administration preferences... ‘when required medicines (PRN) protocols did not always provide sufficient information... policies... had not been reviewed since the last management changes.
Audits and checks by managers don't spot all risks like recruitment gaps or safety issues.
The provider had not identified the risks we identified... Staff had completed health and safety audits... but had not identified the risks we found... The audit templates had not been updated.
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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