Last updated: 10 February 2026
"Staff get good training, enough people on shift and an improved culture, but unsafe medicines management holds it back."
The provider continued to fail to ensure the proper and safe management of medicines... Some medicines were not being administered in line with the patient safety leaflet guidance... Two medicines we counted did not match the records.
Staff told us the culture of the service had improved with the registered manager. One staff said, 'When [registered manager] came it was the best thing that ever happened. So much wasn't getting done and we weren't a team. Now things run smoother.'
Staff told us there were sufficient staff to meet people's needs. Staffing was calculated by the registered manager and when there were gaps in the rota agency staff would be used, or the head of care or senior manager worked shifts.
Staff received a mixture of online and practical training to support their learning. Staff told us they felt confident supporting people with their healthcare conditions including people with catheters.
The registered manager completed a range of checks and audits. Where issues were identified they created an action plan... However, these failed to identify issues we highlighted during our inspection.
Per 2021 comprehensive inspection: 'people took part in various activities such as quizzes and singing.'
Medication is not handled safely with wrong stock counts and patches not rotated, so you could accidentally give the wrong dose.
Two medicines we counted did not match the records... Staff were not rotating these pain patches in line with the guidance.
Managers' audits and checks miss key problems like unsafe meds and infection risks, so issues pile up.
Audits of medicines had not identified this concern... these failed to identify issues we highlighted during our inspection.
Only basic activities like quizzes and singing with no coordinator or regular programme, so your days are mostly routine personal care.
Per 2021 comprehensive inspection: 'people took part in various activities such as quizzes and singing.'
AI Generated
Last inspected: October 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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