Last updated: 10 February 2026
"Staff get good dementia training, but staffing shortages when people call in sick, medicines errors, and weak local audits needing head office support hold it back."
Some aspects of medicines management were not safe. For example, protocols and care plans for ‘as and when required’ medicines not being detailed enough and staff administering medicines being distracted regularly caused a heightened risk of medicine errors occurring.
Some staff informed us they did not feel as well supported in some areas of their work. For example, staffing levels when staff phoned in sick or frequent changes in the senior management team.
Staff told us, and we observed, when staffing levels were lower than the rota stated, shifts were not always covered. Whilst staff told us they were able to support people safely, they also told us it impacted on their opportunities to engage with people throughout the day.
the management team organised training for staff specifically based around supporting people living with dementia.
audits and governance measures at the service needed strengthening to ensure issues did not arise without significant support from the senior management team.
social past times on offer (such as dancing or bingo) it was not apparent what other choices were on offer in line with people’s preferences.
Staffing is sometimes short when people call in sick, so shifts aren't always covered and you get stretched with less time to chat with residents.
when staffing levels were lower than the rota stated, shifts were not always covered. Whilst staff told us they were able to support people safely, they also told us it impacted on their opportunities to engage with people throughout the day.
Medication checks don't always match stock counts, so errors happen and aren't spotted right away.
When found stocks of medicines differed from the audits being completed by staff, meaning medicines errors may be happening, but not being identified.
Local audits and checks need a lot of help from head office bosses to find and fix problems.
audits and governance measures at the service needed strengthening to ensure issues did not arise without significant support from the senior management team.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp