Last updated: 10 February 2026
"Staff feel supported with up-to-date training, but poor management oversight, high agency staff use, and unsafe medicines handling are major concerns."
There were significant gaps in the reporting and management of accidents and incidents; records of accidents and incidents were not fully completed or analysed to ensure people's safety and to avoid reoccurrence. Improvements were necessary to ensure people received their medicines safely as safe processes were not consistently followed on each unit.
Staff told us morale had been low but there had been recent positive changes to the management team. Staff told us they were being listened to and confirmed training was up to date and said they felt supported.
Prior to the inspection, people raised concerns about the high use of agency staff and turnover of staff. Records showed shortfalls were covered by existing staff or with regular agency staff to maintain staffing levels.
Staff told us they were being listened to and confirmed training was up to date and said they felt supported.
The provider's quality assurance systems, audits and action plans were ineffective and there had been a lack of oversight by the provider which had resulted in a number of shortfalls that could place people at risk of not receiving proper and safe care.
Activities were not tailored to people's needs, choices and preferences. They were inconsistent across the units and were dependent on the availability of staff. People told us there was not enough for them to do.
Bosses have not checked things properly, causing safety risks and poor records.
The provider's quality assurance systems, audits and action plans were ineffective and there had been a lack of oversight by the provider which had resulted in a number of shortfalls that could place people at risk of not receiving proper and safe care.
Medication not handled safely all the time, with gaps in records and processes.
There were shortfalls in areas such as medicines disposal, handwritten entries, storage, as needed medicines and recording administered medicines. One person's medication administration record (MAR) did not indicate any allergies and there were gaps on the administration of creams charts.
High use of agency staff and turnover means the team isn't stable enough.
Prior to the inspection, people raised concerns about the high use of agency staff and turnover of staff. Records showed shortfalls were covered by existing staff or with regular agency staff to maintain staffing levels. Staff felt there were enough staff to meet people's needs but needed more permanent staff.
AI Generated
Last inspected: October 2021
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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