Last updated: 10 February 2026
"Positive staff culture and improved activities, but staffing shortages causing rushing, poor medicines management, and weak oversight hold it back."
The management of medicines was not always safe... Medicine administration records (MAR) were poorly completed... Protocols for 'as required' (PRN) medicines such as pain relief and mood calming medicines were not in place for everyone.
Feedback from staff about the leadership was positive, 'We will get there, a lot to do though.' Staff talked positively of their job and the people they supported... 'More time and support would be good, but we are building a good team.'
There were not always enough suitably qualified, competent, skilled, and experienced persons deployed to support people safely... The night time staffing levels were not sufficient to ensure people's safety in the event of an emergency.
Staff had not had the appropriate support, training, professional development, supervision, and appraisal necessary to enable them to carry out the duties they were employed to perform. The supervisions for staff had lapsed and recommenced in March 2023.
The providers' governance systems had not identified the shortfalls found at this inspection. Audit systems and processes failed to identify and manage effectively risks to people's safety and other aspects of the service that required improvement.
Improvements had been made to the provision of activities, there were planned baking sessions, a gardening club and tea meetings. People told us, 'She (activity person) is lovely, we do enjoy ourselves, we are baking today.'
Not enough staff at busy times and nights, so you have to rush around with no time to chat or sit with residents.
People told us, 'The staff are lovely, but they have to rush, they have no time to chat'... 'The staff are very busy. They don't have time to stop and chat with me'
Medication records are messy and there's no tracking if pain relief or calming drugs actually work, which is unsafe.
MAR were poorly completed, and signatures crossed out and unreadable... no reflection of the effectiveness of the medicine
Weak oversight means risks like falls and poor records aren't spotted or fixed quickly by managers.
Audit systems and processes failed to identify and manage effectively risks... The overview of incidents/accidents was not robust, there was no initial record of any action taken to prevent re-occurrences
AI Generated
Last inspected: July 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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