Last updated: 10 February 2026
"Staff feel valued with daily manager chats and engaging activities programmes, but serious medicines errors and absent registered manager weaken safety and governance."
The provider remained in breach of regulation for safe care and treatment; medicines not always safely managed with nine people missing doses, wrong doses given, and unsafe insulin storage.
Staff told us the manager spoke to each staff member daily and they liked this approach as it made them feel respected and valued; some staff said their views were not always listened to.
There was a sufficient number of staff on duty throughout our assessment; agency staff were used occasionally and some staff noted increased complexity of needs not always reflected in staffing allocations.
Staff received an induction, training and ongoing supervision; some staff would benefit from more face-to-face training rather than e-learning and not all had oxygen therapy training.
Staff felt supported by the current manager who was overseeing the operations of the home while the registered manager was away from the service; registered manager not present during assessment and governance processes required strengthening.
The home employed a wellbeing coordinator and offered a range of activities both on a one-to-one basis and in groups; observed staff using problem solving games and board games adapted for dementia.
Serious medication errors like missed doses for nine people, wrong doses given, and unsafe insulin storage put residents and staff at risk.
Nine people missed doses of some of their prescribed medicines... two people being given the wrong doses... insulin was not stored at safe temperatures for over a month.
No permanent manager on site with the registered manager away, and weak governance failing to spot ongoing safety problems.
Staff felt supported by the current manager... while the registered manager was away; provider remained in breach of good governance regulation.
Staffing is enough to cover shifts but some say they are stretched with more hoisting and complex needs not matched by extra staff.
There is lots of hoisting on this floor now... but there’s no more staff. The numbers include the seniors, so it doesn’t leave many carers to do the work.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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