Last updated: 9 February 2026
"Good teamwork and regular updates for staff, but major safety failures like late medicines and weak leadership put residents at risk."
During our assessment, we found a person was not receiving time sensitive medicines appropriately with regards to their health condition. As a result, we had to raise a safeguarding alert on 4 July 2025.
Staff told us they worked well as a team. Staff were kept up to date with things affecting the overall service via team meetings and conversations on an on-going basis.
Staffing numbers on each shift were based on the needs of each person. However, staff were not always deployed effectively, and this meant some people were left with no social interaction for long periods of time.
No members of night staff had received training in how to support people with their medicines, and this meant people were unable to access their medicines when required during the night.
The provider had failed to establish and operate effective systems and processes to assess, monitor and improve the quality and safety of the service. Governance systems were ineffective had not identified the areas requiring improvement.
There was a lack of meaningful activity to aid people’s overall well-being. Throughout our site visits, we observed people engaged in very little meaningful interactions and activities with staff.
Big safety failures like late medicines, no night staff trained for meds, and poor cleaning put you and residents at serious risk every day.
we had to raise a safeguarding alert on 4 July 2025. This did not demonstrate a service which responded to safety concerns in a timely manner.
Weak leadership misses major risks and fails to fix governance problems, leaving staff without proper oversight or support.
The provider had failed to establish and operate effective systems and processes to assess, monitor and improve the quality and safety of the service.
Staff numbers seem ok but bad deployment leads to chaos, long waits for call bells, and no time for resident chats.
On 30 June 2025, we observed the environment was chaotic, with calls bells ringing and people shouting out for help. One person’s call bell was ringing for over 10 minutes before staff responded.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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