Last updated: 9 February 2026
"Stable staffing and a positive culture with engaging activities, but poor medicines management and training gaps for complex tasks hold it back."
Medicines were not always managed to protect people from the risks associated with them. There was a lack of guidance for the safe administration of medicines, lack of clinical oversight... breach of Regulation 12.
Staff were positive about the registered manager and felt supported in their roles. One staff member told us “[Registered Manager] has people’s best interests at heart... approachable"
There was a consistent staff base who knew people well... No concerns were expressed by family members in relation to staffing levels. One relative told us, “There are always plenty of staff about.”
Staff had not received the correct training to manage risks relating to complex health care tasks. The registered manager acknowledged there was a lack of training for such needs.
The audits completed by the registered manager and provider were not fully effective in identifying improvements and developments for the service.
Per 2019 comprehensive inspection: There was a sensory room and an activity area... photographs of activities and events... trip to the theatre... sponsored walk... weekly group at a local church.
Staff not trained or checked properly for giving medicines safely, like through tubes or in emergencies.
the management team acknowledged staff did not have the correct training, competencies and oversight to ensure the safe administration of medicines both for emergencies and via an enteral method.
Gaps in staff training for handling distress, complex health tasks, and positive behaviour support.
not all staff were trained in positive behaviour support... lack of training for such needs and also a lack of oversight to ensure regular staff competencies were assessed.
Manager is approachable but oversight and audits miss key issues like medicine safety and staff skills.
audits and processes were not always effective... concerns around provider audits, oversight and leadership... breach of Regulation 17 Good governance.
AI Generated
Last inspected: October 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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