Last updated: 10 February 2026
"Enough staff available and an activities team providing opportunities, but serious safety issues with medicines and safeguarding, plus unstable management, hold it back."
We identified 2 breaches of the legal regulations. The provider had not always managed risks to people’s safety effectively or acted promptly to learn from safety incidents. People's medicines were not always managed safely. The provider's safeguarding processes were not always effective in protecting people from the risk of harm and abuse.
We received mixed feedback about how confident staff were their concerns would be listened to and responded to promptly. Staff told us changes and instability in the management team had impacted their confidence.
People and their relatives told us there were enough staff available to provide support when required. We observed appropriate staffing levels in the service during the assessment.
Per 2018 comprehensive inspection: Staff had access to a good induction and received regular mandatory training updates. Additional training was sourced to support staff in various aspects of care provision and ongoing learning. (Newer report notes gaps: The provider had not ensured all staff had up to date safeguarding training)
Staff told us they did not always know who to raise issues with. The management team had identified priorities to address and implemented an action plan. However, improvements were not embedded and we continued to identify concerns with oversight.
The management team told us there was an activities team in place to support people with a range of different opportunities to socialise and engage with others.
Serious medication errors and poor handling of abuse concerns make safety unreliable for care workers.
People did not always receive their medicines as prescribed. This meant there was a risk medicines were not being administered safely... People were not always protected from the risk of abuse. During the assessment, we found examples of safeguarding concerns which had not been managed correctly.
Unstable management with frequent changes means staff often don't know who to report issues to.
Staff told us they did not always know who to raise issues with... changes and instability in the management team had impacted their confidence. Comments included, 'Our management keep changing...'
Recruitment checks have gaps and not all staff get regular supervisions so support and development is patchy.
The provider's processes for recruiting staff were not always robust. Employment checks had not always been completed accurately prior to new staff starting work... The provider was not able to demonstrate all staff received regular supervisions.
AI Generated
Last inspected: June 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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