Last updated: 10 February 2026
"Staff feel supported with regular supervisions and enough staff to meet needs promptly, but no structured activities and a new manager still registering need improvement."
We identified some areas for improvement around how rotations of people’s pain patches were documented and recorded and how protocols for ‘as and when’ (PRN) medication explained how people would indicate they were in pain or needed their PRN medication. The provider did not always detect and control potential risks in the care environment.
A member of staff told us, “I have regular teaching sessions and supervisions and appraisals with the manager and I am able to share concerns with both the manager and the providers because they are both on site.”
There were sufficient members of staff on duty who were deployed to meet people’s needs effectively. People’s needs were met in a timely way and call bells were responded to quickly and efficiently.
New starters accessed a comprehensive induction programme and members of staff completed a range of training courses both online and face-to-face which ensured they were able to deliver care safely.
The manager was new into post and was going through the CQC registration process to become the registered manager. The management team had developed new systems and processes and needed to ensure they were embedded into standard practice.
One person said, “There are quizzes but I like to watch television in the lounge. I go out on a Sunday morning to church on my own and on Wednesdays I usually go into town with my relatives.”
No structured activities programme or coordinator, so the role is mostly routine personal care with just quizzes mentioned.
There are quizzes but I like to watch television in the lounge.
No permanent manager yet as the new one is still registering, and new leadership systems need embedding.
The manager was new into post and was going through the CQC registration process to become the registered manager.
Gaps in medication records like pain patch rotations, even though fixed on the spot.
We identified some areas for improvement around how rotations of people’s pain patches were documented and recorded.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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