Last updated: 10 February 2026
"Staff receive good training and work in a positive culture, but serious medicines safety issues, staffing shortages in emergencies, and weak quality checks hold it back."
Medicines management did not consistently meet best practice... We found numerical discrepancies and gaps in people's Medicine Administration Record (MAR) charts... For one person we found a medicine had not being given as prescribed... The above concerns constitute a continued breach to regulation 12.
Staff worked well together, and the culture was positive, open and nurturing. Management were supportive and people told us they had confidence in them.
We were not fully assured that there were enough staff to consistently keep people safe in the event of an emergency. There were times when only two staff were on shift causing concern that there would not be enough staff to assist people in the event of a fire for example.
Records confirmed training was comprehensive and varied in its delivery. Staff told us they were well supported, received regular supervisions and that the training they received helped them to perform better in their roles.
The provider's quality assurance system had failed to maintain a consistently safe and high-quality service. Although quality monitoring audits were in place, these had not been consistently effective at identifying shortfalls and driving improvement.
The relatives we spoke with had mixed views on whether there were enough person-centred activities going on in the home. Whilst they told us activities were planned and completed, some did not feel there were enough... records we viewed did not show activities were available every day.
Medication handling has serious problems like unsafe storage, gaps in records, and wrong doses given, risking harm to residents.
Medicines management did not consistently meet best practice. For example, medicines were being prepared in a busy thoroughfare... numerical discrepancies and gaps in MAR charts... a medicine had not being given as prescribed.
Sometimes only two staff on shift, not enough to safely help everyone in an emergency like a fire.
There were times when only two staff were on shift causing concern that there would not be enough staff to assist people in the event of a fire for example. Several people would require two staff to assist them.
Quality checks by managers missed big safety issues like medication problems.
The provider's quality assurance system had failed to maintain a consistently safe and high-quality service... medicines audits had been completed however these had not identified the medicines concerns found at this inspection.
AI Generated
Last inspected: September 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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