Last updated: 9 February 2026
"Staff feel involved with a supportive manager and person-centred activities, but unsafe medicines management and ineffective oversight hold it back."
Medicines were not managed safely.
Staff felt involved in the running of the service and said the registered manager was approachable and supportive.
Staffing levels were safe and there were enough staff to meet people's needs.
Staff had induction, training, and supervision to be able to carry out their role safely.
Provider oversight was not effective at identifying and managing organisational risks.
There was an activities coordinator in place at the home. When they were on duty, they supported people with a range of person-centred activities.
Medication is handled unsafely with missing checks on strong drugs, wrong fridge temperatures, and poor recording of thickeners for drinks.
Medicines were not managed safely. Robust systems were not in place to monitor and check the use of controlled drugs. Temperature checks of the clinic room and fridge were not robust.
Managers' audits and quality checks fail to spot major safety problems like unsafe meds and missing risk assessments.
A range of audits were in place but they had not been effective in identifying the issues we found at this inspection.
Nurses get stretched handling medication rounds, clinical tasks, and record updates all at once.
the nursing team were partly responsible for reviewing and updating people's care records but over the course of the inspection we observed they were stretched in other key roles such as administering medication and daily clinical interventions.
AI Generated
Last inspected: August 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp