Last updated: 10 February 2026
"Staff feel respected with good morale and engaging activities, but unsafe medicines management, inconsistent staffing and unstable leadership are major concerns."
The service was in breach of legal regulation in relation to the ways people’s medicines were managed safely... Paper records we checked... showed people were not always having their regular medicines administered appropriately... medicines had not been signed as given on multiple occasions and these had not been investigated. This included critical medicines such as those to treat seizures, Parkinson’s disease and antipsychotics.
Most staff we spoke with told us they felt respected in their role... A staff member told us, 'I have been well supported by management... The staff team are also supportive, and staff morale is good.'
A staff member told us, 'The staffing levels are inconsistent.' Another staff member said, 'I would like more staff, at times it can be quite chaotic.' nurse call bells were not always answered in a timely way, and this was confirmed by the provider’s own audits.
Staff received training in safeguarding... Staff had completed medicines training and had their competency assessed... staff received training and supervisions.
The service had been through a period without consistent permanent leadership. At the time of our inspection, there was a new management team joining the service.
'[Beaumont Manor] has got a great activity coordinator, we receive a plan of what’s on a week ahead, exercises, games, lots of entertainers in. We go to some events; they go down great. [Person] likes it when the animals come in.'
No permanent manager for a while and new team just starting, so leadership is unstable and changes not fully in place.
The service had been through a period without consistent permanent leadership. At the time of our inspection, there was a new management team joining the service.
Not enough staff at times, especially evenings and nights, leading to delays answering call bells and feeling chaotic.
A staff member told us, 'The staffing levels are inconsistent.'... 'I would like more staff, at times it can be quite chaotic.'... nurse call bells were not always answered in a timely way.
Medication errors like missed doses of important drugs for seizures or Parkinson's were not followed up properly.
Paper records we checked for the previous month showed people were not always having their regular medicines administered appropriately. We found that medicines had not been signed as given on multiple occasions and these had not been investigated. This included critical medicines such as those to treat seizures, Parkinson’s disease and antipsychotics.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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