Last updated: 10 February 2026
"Varied activities and some happy staff, but major training gaps, unsafe recruitment and medication safety issues hold it back."
Medicines were not always stored, administered and managed safely. There was no system in place for staff members to raise medication concerns. Staff did not always assess risks to people’s health and safety to mitigate them where identified.
Staff gave mixed feedback. Some said they were happy in their role, however, one staff member stated, “Sometimes, I feel like a number.”
Staff were not recruited safely. The provider had not followed safe recruitment guidelines. There were several short falls in their recruitment practices including not always checking proof of identification; not always establishing why people had left previous employments when working with vulnerable adults.
Several staff had not completed statutory and mandatory training. For example, there was no record of staff being trained in COSHH... A third of care staff had not completed training in pressure care, diabetes, end of life, mental capacity act, fire, nutrition and hydration, food hygiene, and falls prevention.
Governance systems and audits were not effective in identifying or addressing areas for improvement. Environmental and fire safety concerns had not been identified by the provider.
The provider offered a variety of individual and group activities based on people’s interests. An activity timetable was in place, and the provider had an in-house hair salon.
Many care staff are missing key trainings like pressure ulcer care, diabetes care, end of life care, and fire safety.
A third of care staff had not completed training in pressure care, diabetes, end of life, mental capacity act, fire, nutrition and hydration, food hygiene, and falls prevention.
Recruitment checks are poor with missing ID proofs and reasons for leaving past jobs.
Staff were not recruited safely... not always checking proof of identification; not always establishing why people had left previous employments when working with vulnerable adults and not always establishing evidence of recent conduct.
Medication safety issues like unsafe storage, stock problems, and no error reporting system.
Medicines were not always stored, administered and managed safely. There was no system in place for staff members to raise medication concerns... we found a stock discrepancy not identified by the provider.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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