Last updated: 9 February 2026
"Staff feel supported like family with good training and enough staffing, but managers missed safety risks like out-of-date medicines and inaccurate fluid records."
Some medicines used to treat two people's eyes were being used beyond the time recommended by the manufacturer... Recording of when one person's fluids were required to be thickened was inaccurate which put the person at risk of choking.
Staff felt supported in their roles. One staff member said, 'I've always felt very well supported... It feels like a second family to me. I've always felt I can be honest and open'.
There were sufficient, qualified staff on duty to meet people's care and support needs. People and their relatives told us that when call bells were rung, staff responded promptly.
Staff completed a rolling programme of training including safeguarding, moving and handling, health and safety, mental capacity, and were encouraged to undertake additional training to progress their career.
Auditing systems were not sufficiently robust. The medicines audit had not recognised how medicines needed to be discarded to prevent the risk of them being used outside of safe timeframes.
A range of activities was organised to provide mental stimulation for people... One person told us, 'There's an activity every day... word puzzles... hairdresser on Tuesdays and Wednesdays... Nails can be done. I have a hand massage'.
Managers checks missed safety problems like out of date medicines and wrong fluid records.
Auditing systems were not sufficiently robust. The medicines audit had not recognised how medicines needed to be discarded... Recording of when one person's fluids were required to be thickened was inaccurate.
Out of date eye drops were used on residents and thickened drink records were inaccurate risking choking.
A bottle of eyedrops which had been opened on 24 March 2022 should have been discarded after 28 days, but was still in use... Recording of when one person's fluids were required to be thickened was inaccurate which put the person at risk of choking.
Staffing is enough for the day but agency covers some night shifts.
We have enough staff. At night, if needed, we have agency care staff.
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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