Last updated: 10 February 2026
"Staff feel generally supported with activity coordinators in place, but inadequate staffing, poor training and unsafe medicines hold it back."
Medicines, including controlled drugs, were not managed safely... We found for 1 person did not receive one of their medicines for 18 days and this placed them at risk of harm.
Staff told us they generally felt supported by management. However, some staff felt there were not enough staff to provide the support they wanted to and they described the impact this had on staff wellbeing.
Our observations found staffing levels were not always adequate to ensure people received consistently safe, good quality care. We observed extended periods where only two staff members were on duty.
Managers did not ensure staff received appropriate training or regular supervision to maintain high-quality care. Although staff had received mandatory training, they had not received training to meet people’s individual needs such as diabetes and stoma care.
Although leaders were visible, they lacked knowledge in supporting staff, helping them develop in their roles, or understanding their responsibilities.
Although 2 activity coordinators were employed, this was viewed by people and their relatives as insufficient to meet the needs of everyone.
Not enough staff on duty at times, leaving care workers stretched and unable to respond quickly to needs.
We observed extended periods where only two staff members were on duty, despite several people requiring the support of two staff for personal care and moving and handling.
Staff missing training for common needs like diabetes care, stoma care, or handling emotional distress.
Staff had received mandatory training, they had not received training to meet people’s individual needs such as diabetes and stoma care. The provider had failed to provide training to staff to guide them on how to effectively support people during periods of emotional distress.
Managers fail to check incidents properly or support staff development, so problems keep happening.
The provider lacked a positive learning culture, and managers did not investigate incidents thoroughly. Leaders lacked knowledge in supporting staff, helping them develop in their roles.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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