Last updated: 10 February 2026
"Staff work well as a team with permanent, regular staff providing good support, but gaps in medicines records and lack of audits are concerns."
Audits of medicines records had not been completed and they were not always accurate and up to date; shortfalls in medicines records and gaps in administration found but no impact on people.
Staff worked as a team; comments included 'We work as a team and support each other' and a culture of openness and honest communication had been developed.
Staff told us staffing levels were good and management were always on hand to support the staff team; relatives said 'the staff are permanent, regular staff and we have got to know them'.
Staff had attended training in infection prevention and control, health and safety, safe administration of medicines, and understood Mental Capacity Act principles.
Governance systems were in place and were being used to drive improvements. However, audits of medicines records were not completed to ensure they were accurate, up to date and contemporaneous.
Medication records have gaps and no regular audits to spot problems, which could cause errors.
Processes were in place for the safe administration of medicines, however we identified shortfalls in medicines records... We also found two people had some gaps in the administration of their medicines... audits of medicines records had not been completed.
Only standard training like infection control and safe meds giving mentioned, no specialist courses or funded qualifications.
Staff had completed training in the safe administration of medicines... Staff had attended training in infection, prevention and control and health and safety.
Risk assessments need more detail and aren't always focused on the person, so staff guidance could be clearer.
Processes were in place to assess and manage risks. However, some risk assessments would benefit from more detail, and they were not always person-centred.
AI Generated
Last inspected: July 2024
Management Quality
Well-led: Good
Direct feedback from current and former employees

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