Last updated: 10 February 2026
"Staff feel well supported with good wellbeing and enough staffing, but weak management oversight missed medication safety issues and training gaps."
Medicines optimisation Score:2 On our first visit to the service, we observed medicines cupboards to be left open unobserved by staff... Some medicines were being administered to people on an ‘as and when required’ basis, however staff were not recording the reasons... We observed staff to not always change their gloves between supporting people with medicines.
Workforce wellbeing and enablement Score:3 The provider cared about and promoted the wellbeing of their staff and supported and enabled staff to always deliver person-centred care. Staff enjoyed their job roles and told us they felt well supported by the management team.
Safe and effective staffing Score:2 However, there were enough staff to support people with their needs such as personal care and eating and drinking and people and relative feedback confirmed this. Staff told us there were enough staff to support people safely.
Staff were not all trained to support people living with specific health conditions such as Parkinsons disease.The management team took actions to address these areas during our inspection including reviewing staff deployment.
Governance, management and sustainability Score:1 Governance systems were not always effective in identifying where improvements could be made at the service.
we also observed some people to enjoy the social past times of offer such as playing bingo, going out for coffee, or completing arts and crafts and listening to music.
Managers' checks missed issues like unsafe fire doors and medication errors until inspectors pointed them out, so leadership oversight is weak.
Governance systems were not always effective in identifying where improvements could be made at the service. For example, in areas such as fire doors not being safe, medicines not always being administered or checked safely.
Some medication safety problems like open cupboards and not recording reasons for painkillers, plus fire door issues that got fixed on the spot.
we observed medicines cupboards to be left open unobserved by staff, increasing the risk people or visitors could access medicines. Some medicines were being administered to people on an ‘as and when required’ basis, however staff were not recording the reasons... most fire doors were not safe and did not shut properly.
Only standard training with gaps, like not all staff ready for conditions such as Parkinson's or full mental capacity knowledge.
Staff knowledge in some areas such as the Mental Capacity Act (MCA) was not as thorough. Staff were not all trained to support people living with specific health conditions such as Parkinsons disease.
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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