Last updated: 10 February 2026
"Staff feel supported by management, but poor governance, medicines mismanagement and weekend staffing shortages hold it back."
Medicines optimisation Score:1 People could not be assured they would receive their medicines safely or as prescribed.
Workforce wellbeing and enablement Score:3 Staff told us they felt supported by the management team. One staff member said, “I think the manager is OK and can go to them when I need. I think they listen to me.”
Safe and effective staffing Score:2 One relative told us they had to go looking for staff, especially at weekends, as there didn’t seem to be many staff around.
Governance, management and sustainability Score:1 The service did not have clear responsibilities, roles, systems of accountability and good governance.
One relative felt staff knew their family member well and responded to them when they were upset. However, they felt there was a lack of entertainment and stimulation within Bryony House.
Bosses do not check incidents or care plans properly, so problems keep happening and staff lack guidance.
The registered manager did not have effective or consistent systems in place to review incidents, accidents or significant events to minimise the potential for harm.
Not enough staff especially on weekends, so you end up rushing or hard to find help.
One relative told us they had to go looking for staff at the weekend to support their family member when they needed it.
Medicines mismanaged with stocks running out and doses not spaced safely.
One person’s medicines had run out and they did not receive their prescribed medicine for a prolonged period of time. The provider failed to have effective checks in place to ensure people received their medicines with sufficient safe gaps in between doses.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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