Last updated: 10 February 2026
"Staff praised the approachable manager, improved teamwork and support, plus varied activities, but safety issues with fluid monitoring and unclear medication guidance need fixing."
Fluid charts viewed showed the person rarely if ever, had the target amount of fluid and no guidance was provided on the action to take if the fluid target intake was consistently not achieved. Protocols were in place for 'as required' medicines but with no guidance around how those behaviours might present.
Staff told us they felt better supported with communication and teamwork improved. Staff commented 'I feel able to raise concerns and concerns are addressed. Communication and teamwork have improved'.
The rotas showed the staffing deemed required was mainly provided except for an occasional shift where agency staff were not able to be sourced. The provider was proactive in recruiting to vacant positions with one team leader vacancy and three support workers vacancies.
The registered manager confirmed all staff employed at the service were working through the Care Certificate training and assessments regardless of previous experience. The training matrix showed some gaps in training.
Staff were positive about the changes within the service and described the registered manager as approachable, calm and a good listener. They felt roles were clearer, tasks were delegated, and the rotas were appropriately managed.
People had more frequent access to community activities which included trips to Oxford, Milton Keynes, London Zoo, Madame Tussauds, meals out, the cinema, trips to theme parks such as Thorpe Park and Lego Land and internal opportunities such as Heathcote's Got talent and music therapy.
Safety has some ongoing issues like poor fluid monitoring and unclear medication instructions that could affect daily care.
Fluid charts viewed showed the person rarely if ever, had the target amount of fluid and no guidance was provided on the action to take if the fluid target intake was consistently not achieved. A person's 'as required' medicine indicated it was to be administered for behaviours that challenge, with no guidance around how those behaviours might present.
Staffing is adequate but relies on occasional agency staff and there are vacancies being filled.
The rotas showed the staffing deemed required was mainly provided except for an occasional shift where agency staff were not able to be sourced. The provider was proactive in recruiting to vacant positions with one team leader vacancy and three support workers vacancies at the time of the inspection.
Only standard training like the Care Certificate with some gaps, no specialist courses mentioned.
The training matrix showed some gaps in training. This had been identified at the provider's monitoring visit carried out in May 2022 and was included in the actions for the registered manager to follow up on with the training department.
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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