Last updated: 10 February 2026
"Staff feel supported with good training, but serious medicines errors like expired drugs and missed doses, plus weak management checks, are major concerns."
People did not always receive their medicines as prescribed; controlled drug administered beyond expiry date, missed doses, staff not following policies; remained in breach of regulation.
Staff described the service positively and felt the culture was supportive; staff spoke positively about the registered manager as supportive and approachable.
There were adequate staff deployed to meet people’s needs and keep them safe, but people said there were times of short staffing and long waits for call bells especially at night.
Staff received sufficient training and guidance to meet people’s needs.
Quality assurance systems were not always effective in identifying and addressing areas of improvement; provider remained in breach of regulation for good governance.
People were able to access a range of activities which provided stimulation in addition to access to outdoors spaces and group trips within the local community.
Serious medication errors like giving out expired drugs, missing doses, and not following safety rules put people at risk.
a controlled drug (a medicine which are liable to misuse) had been administered beyond its safe expiry date... One person missed their medicine for three days... staff had failed to administer a person’s time critical medicine.
Management checks are not picking up problems like poor medication handling and gaps in care plans.
Quality assurance systems were not always effective in identifying and addressing areas of improvement... provider had not sustained improvements... remained in breach of legal regulations.
Staffing is adequate but nothing special, with some short-staffing and long waits for help especially at night.
there were times when the service was short staffed... Sometimes I don’t think there’s enough staff at night. Sometimes you do have to wait for a long time in the night.
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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