Last updated: 10 February 2026
"Group activities like Bingo offered, but failed leadership, unsafe staffing levels and poor safeguarding plus medicines management put people at risk."
The service was in breach of legal regulation in relation to failing to safeguard people from potential harm or abuse, safe care and treatment, the ways people’s medicines were managed
Staff did not report concerns about people’s behaviours or challenge inaccurate recording by colleagues
Staffing levels on 1 unit were not sufficient to safely meet people’s needs or respond effectively in an emergency
there was no assessment of competency or observation to ensure that training was understood and implemented safely. Staff reported feeling unsure how to support people living with dementia
leaders and managers had failed to drive necessary improvements
Group activities, such as Bingo, were delivered without consideration of the preferences of others
No effective leadership as managers are not visible and fail to fix serious problems
leaders and managers had failed to drive necessary improvements
Not enough staff on shifts, especially evenings and weekends, putting people at risk
There is not enough staff on an evening, or weekend, and although [person] is given their medication, I have seen other people being given medication then left
Unsafe practices like medication not given on time and poor safeguarding
Some medicines were not administered for prolonged periods, placing people at risk of harm
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

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