Last updated: 9 February 2026
"Positive staff culture and engaging activities programme, but insufficient staffing and weak management oversight let it down."
Best practice guidance had not been consistently followed. For example, handwritten medication administration records had not been signed by two staff. Not all liquid medicines and creams were labelled with dates of opening. Room temperatures of stored medicines exceed the expected temperature.
Staff were positive about working at the service and communication systems in place. One staff said, 'I really like my job. I am continuously learning.' Another staff member said, 'I think as a whole staff team we are pulling together as a team and the management team are managing well.'
Staff deployment was found not to meet people's individual needs. Feedback from people who use the service and relatives raised some concerns about staffing levels. One unit did not have sufficient staff to meet people's care needs.
Staff had been safely recruited and received ongoing training and support. Training needs were regularly reviewed, and gaps were discussed with staff and additional training planned. The training plan showed some gaps in both nursing and care staff training.
Staff accountability and management oversight needed to be improved upon. Our observations of staff, and through discussion with them and from reviewing people's daily records, found inconsistencies of staff practice.
A team of activity coordinators provided a programme of daily activities for people to participate in if they wished. This included group activities such as games and quizzes and one to one activity such as nail care, massage, talking and reminiscing.
Not enough staff on some units, people have to wait a long time for help and staff seem rushed.
A person said, 'I don't think there is always enough staff, sometimes I have to wait quite a long time for the buzzer to be answered.' A relative said, 'I don't think there is enough staff, they are always rushing about.' One unit did not have sufficient staff.
Medication records not always done properly, like missing signatures, wrong labels and unlocked trolley.
Best practice guidance had not been consistently followed. For example, handwritten medication administration records had not been signed by two staff. Not all liquid medicines and creams were labelled with dates of opening. A medicines trolley was observed to be unlocked.
Management oversight is weak, so staff practices are inconsistent and rules like safeguarding not always followed.
Staff accountability and management oversight needed to be improved upon. Care records showed staff had not always followed the provider's safeguarding policies when incidents had occurred.
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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