Last updated: 10 February 2026
"Staff feel supported with good morale and engaging activities, but medicines safety issues and weak governance need attention."
People did not always receive their medicines in line with the prescribers' instructions. Accident and incidents were not always robustly reviewed and monitored to ensure themes and trends were identified.
Staff felt supported by the management team and there was good staff morale at the service.
Most people felt there were sufficient staff. A robust way of assessing people's needs to determine the staffing levels was not carried out.
Although staff had been trained in moving and handling, we could not be assured of their skills and competence as there was continued incidents involving equipment.
Governance systems had not always identified the areas we found at this inspection. Continued concerns with care plans, risk management, and staff skills and competency.
Per 2019 comprehensive inspection: The provider employed a dedicated activities coordinator who was passionate and experienced in supporting people to enjoy their interests, hobbies and attend a variety of events and activities.
Medication errors happen because timings with food are not recorded and doctor's instructions are missed.
People did not always receive their medicines as prescribed. For example, some people were receiving medicines with other medicines when the prescriber's instructions advised not to do this. Staff did not record the time medicines were given.
Staff skills are not reliable enough after training, with repeated equipment accidents showing gaps.
Although staff had been trained in moving and handling, we could not be assured of their skills and competence as there was continued incidents involving equipment.
Managers' checks and audits miss key problems like poor care plans and risks.
Governance systems had not always identified the areas we found at this inspection. For example, the audits had not identified the concerns we found with medicines or care plans.
AI Generated
Last inspected: May 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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