Last updated: 10 February 2026
"A stable, supported team with enough staff, but medication errors and poor risk management from weak governance are major concerns."
Medicines were not always managed safely... Between March and June 2025, trained staff had made 65 medicine administration and recording errors... Risks were not always identified and mitigated
Staff worked well as a team and felt supported. Staff spoke positively about senior leaders. A lot of staff including the registered manager had worked at the service for many years
People told us there were enough staff to meet their needs and our observations reflected this. There were plenty of staff on duty including care staff, managers and ancillary staff
Staff received comprehensive training but had not always applied their learning to their practice. This included areas relating to health and safety, administering medicines and managing risks
Staff spoke positively about senior leaders. The management team were open and approachable, but 'Governance processes were not effective in identifying some service shortfalls... The service was in breach of legal regulation in relation to governance'
Activity programmes were displayed around the building and reflected a variety of daily activities available to people. People told us they had access to local community events and clubs
Lots of medication errors and risks like choking or scalding not managed well, so you could be putting people in danger without realising.
Between March and June 2025, trained staff had made 65 medicine administration and recording errors... Risks were not always identified and mitigated
Managers do not oversee risks or quality checks properly, so problems like poor risk management slip through.
Governance systems and audits were not always effective... The provider did not have effective governance systems to assess, monitor and drive improvement
Staff get training but often do not use it right for things like safety or meds, meaning you have to figure it out on the job.
Staff received comprehensive training but had not always applied their learning to their practice. This included areas relating to health and safety, administering medicines and managing risks
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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