Last updated: 10 February 2026
"Enough staff meet needs timely and a positive family team culture, but unsafe medicines management and ineffective governance audits need attention."
Systems followed had not ensured all medicines were handled safely... Some medicines were not recorded within a required register. Medicines given 'as required' did not always have guidelines in place... A loose tablet was found in the medicine's trolley with no explanation.
The registered manager promoted a positive team spirit and culture in the service. Staff told us, 'We work as a family team here.'
The staffing arrangements provided enough staff to meet people's needs in a timely manner. People and relatives told us there were enough staff to respond to people's needs in a timely way.
Staff had received training on safeguarding and how this effects people including forms of discrimination. All staff who gave medicines had been trained and had their knowledge and skills regularly assessed by the deputy manager in a competency assessment.
The providers' governance and quality monitoring systems had not been effective in identifying areas of shortfall found at this inspection. Audits had not identified the management of medicines was not safe in all areas.
Per 2019 comprehensive inspection: There was an activity programme and the feedback from people was positive. Staff helped with activities but also two days each week an activities coordinator came in.
Medications aren't managed safely, with missing registers for some drugs, no guidelines for as-needed doses, and unexplained loose tablets.
Some medicines were not recorded within a required register. Medicines given 'as required' did not always have guidelines in place to support staff to give these in a consistent safe way. A loose tablet was found in the medicine's trolley with no explanation.
Managers' audits and checks don't spot key problems like unsafe medication handling or risks from windows and rubbish buildup.
Audits had not identified the management of medicines was not safe in all areas. Environmental risk assessments had not identified some risks posed by windows and flammable items.
Only standard training like safeguarding and medication checks, no specialist courses or funded qualifications mentioned.
Staff had received training on safeguarding... All staff who gave medicines had been trained and had their knowledge and skills regularly assessed... Per 2019: staff had not received training in dementia and were looking after people living with dementia.
AI Generated
Last inspected: June 2022
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