Last updated: 10 February 2026
"Staff feel supported in a positive safety culture with community activities, but medicines management issues and weak governance hold it back."
The provider had not ensured that medicines were always managed in a safe way... medicines storage areas to be very hot due to kitchen appliances being in the medicines room, record keeping for controlled drugs was not robust.
Staff reported they received good support from the manager. The provider had a proactive and positive culture of safety, based on openness and honesty.
We did not look at Safe and effective staffing during this assessment. The score for this quality statement is based on the previous rating for Safe.
Governance systems had improved but required further development and embedding into practice to ensure improvements continued and were applied consistently. We identified breaches in relation to managing medicines, governance, and managing risks.
People engaged in a range of activities at the service and in the community. Staff told us of the events planned for Christmas, including a big dinner for people and their families to attend.
Medicine storage too hot from kitchen equipment next door, poor records for strong medicines, and no log when taking medicines out for trips.
medicines storage areas to be very hot due to kitchen appliances being in the medicines room, record keeping for controlled drugs was not robust, and when people were supported outside the service, the provider was not following its medicines policy on recording stock taken out of the medicines cabinet.
Manager's audits missed medicine safety issues and other risks.
The registered manager had audited a selection of properties on the site but had not identified any of the shortfalls we found. In addition, team leaders were carrying out weekly audits, which were ineffective in identifying issues.
Only basic activities like community outings and festive events, no special programmes or coordinator to make the job more varied.
People engaged in a range of activities at the service and in the community. Staff told us of the events planned for Christmas, including a big dinner for people and their families to attend.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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