Last updated: 10 February 2026
"Regular training, supervisions and a stable long-serving team foster a positive culture, but unsafe medicines management with record gaps is a major concern."
Medicines not always managed safely: controlled drugs register lacked witness signatures, MARs had gaps and inaccurate dosages, liquid medicines not dated.
There was a positive culture reinforced by established staff team; staff felt valued and listened to by the registered manager.
People told us there were enough staff to meet their needs, observed on rotas, stable long-serving team but recruitment checks not always robust with gaps in employment history.
Staff completed mandatory training as well as training specific to the needs of people; training records up to date, regular supervisions and annual appraisals.
People spoke positively of the registered manager; staff said '[Registered manager] is brilliant and very professional. It's a good place to work' but quality monitoring not always effective.
Activities coordinator provided reminiscence sessions, music, themed afternoons, community outings like barge trips and garden centre visits.
Medication records have gaps, missing signatures and wrong dosages, putting people at risk.
MAR's did not always contain all the required information... gaps where staff should have signed... not always accurate regarding medicine dosage.
New staff files miss full work history and do not explain gaps in jobs.
Staff files did not always contain a full employment history, and gaps in employment history for staff were not always explored or explained.
Quality checks and audits fail to spot issues with medicines, recruitment and safety.
Quality monitoring at the home was not always effective... audits of medicines... had not identified the issues... audits of staff recruitment files had not been effective.
AI Generated
Last inspected: September 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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