Last updated: 10 February 2026
"Good safeguarding training for staff, but staffing shortages, unsafe medicines, and frequent leadership changes leave the team overstretched and unsettled."
The provider was in breach of legal regulations in relation to safe care and treatment, and medicines management.
not all staff felt they could speak up to the management team and that their voice would be heard.
The provider remained in breach of the regulation 18. ... Many expressed concerns that there were not always enough staff available to meet people's needs in a timely manner.
Staff had received training in safeguarding and most understood their responsibilities. ... Leaders told us that additional competency checks would be carried out.
Predominantly we found concerns at Munnings and Beech Units. We also found these units had frequent leadership changes.
The service lacked a consistent provision of interesting activities to keep people physically and mentally active, especially those people living with dementia.
Not enough staff on shifts, so people wait up to 30 minutes or more for help and care staff feel overstretched and unable to do showers or chats.
Staff are so limited, they don’t have enough staff. I ring the bell they come and go away again, longest wait can be half an hour... Another staff member said, “There should be 5 carers, but we have been told we have to go down to 4 staff, because we are not full so we can cope with only 4 carers, but we can’t.”
Frequent changes in unit managers mean poor communication, no team meetings, and staff feel unsettled and unsupported.
We have had 3 unit managers on Beech since I have been here, and the current one started 2 months ago but has not been around for a while. The impact is we don’t have unit meetings and communication is lacking.
Unsafe medication practices like unsecured creams and gaps in records make it hard to give medicines correctly and safely.
We found that topical medicines were not dated when opened and were not being stored securely... There were some gaps in records... This is the third inspection where we have had concerns about the safe management of medicines.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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