Last updated: 10 February 2026
"Good training and improving staff morale, but unstable management, high staff turnover and medicine safety issues hold it back."
Breaches of Regulation 13 (safeguarding) and Regulation 12 (medicines); numerous medicine errors over sustained period, unexplained bruising not investigated, risk plans not always followed by staff.
Staff were positive about recent changes... Comments included: 'Morale is definitely getting better' and 'I like coming to work, see people happy and doing what they want to do'.
The service had experienced the national care sector challenges in both recruiting and retaining care staff. There had been a very high turnover of staff in the last year which had clearly affected people, the quality of care and morale within the staff team. Regular agency staff were used when necessary.
Per 2019 comprehensive inspection: Staff received mandatory and bespoke training that enabled them to meet people's complex needs, including diabetes awareness, autism awareness, behavioural support, communication, and trauma training; regular supervision and appraisals in place.
At the time of our inspection there was not a registered manager in post. There had been 4 home managers since 2022, each of whom had only stayed for short periods of time.
Per 2019 comprehensive inspection: Staff supported people to enjoy a wide range of activities both in the home and the community. This had included small group trips to the coast and a local farm and regular, individually funded activities such as aromatherapy or music therapy; greenhouse purchased.
No permanent manager in place, with four managers coming and going since 2022 causing confusion and poor oversight.
There had been 4 home managers since 2022, each of whom had only stayed for short periods of time. This lack of clear, consistent leadership had contributed to the decline in the quality of the service.
High staff turnover and use of regular agency workers affected care quality and team morale.
There had been a very high turnover of staff in the last year which had clearly affected people, the quality of care and morale within the staff team. Regular agency staff were used when necessary to ensure consistency of staffing.
Medication errors and failure to investigate unexplained bruising put people at risk.
Staff had not always followed effective processes to provide the support people needed to take medicines safely. This had led to numerous errors... when people had unexplained bruising, it was unclear... had not been investigated.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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