Last updated: 10 February 2026
"Enough staff and a positive culture with good morale, but unsafe medicines management and ineffective governance hold it back."
Medicines had not been managed safely and people were not received their medicines as prescribed. This was a breach of regulation 12(1).
Staff told us morale was good and the culture in the home as positive and inclusive. One staff member said, 'This has been my favourite place to work, it's just such a good environment.'
Our observations and what staff told us assured us that there were enough staff to meet people's needs. One staff member said, 'Staffing levels are enough to meet people's needs.'
Governance systems in place had not been effective in identifying and improving the quality of the service.
We spoke with nine members of staff including... the activities co-ordinator.
Serious medication errors like running out of painkillers, delays applying patches, and not handling medicine refusals right, plus risks from poor checks on falls, skin, and nutrition.
Some medicines had not been available... This included medicines used to help relieve people of pain... Risk assessments and care plans did not always effectively identify and address risk... nutrition and hydration needs, skin care and falls.
Poor management oversight left known problems with records, risks, and meds unfixed for months.
Governance systems in place had not been effective... issues identified at this inspection had been identified both in May and in October 2021... no service improvement plan had been put in place.
No activities programme or coordinator details given, so the role is mostly routine personal care.
We spoke with... the activities co-ordinator.
AI Generated
Last inspected: April 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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