Last updated: 10 February 2026
"A positive culture where staff feel valued and supported with good activities, but serious safety issues in risk and medicine management hold it back."
The provider was in breach of legal regulation in relation to people’s safe care and treatment, risk management and medicine management.
Staff told us there was a positive culture within the service that encouraged openness and transparency. They felt confident to speak up about concerns, ideas, or issues and believed their voices were heard and respected.
There were enough qualified, skilled, and experienced staff who received effective support, supervision, and opportunities for professional development. However, some staff expressed concerns about staffing levels during night shifts.
gaps in assessing staff competencies and arranging additional training where needed.
Staff spoke positively about the registered manager’s visibility and leadership, describing them as approachable and supportive. However, the systems and processes in place to support communication and accountability across the management structure were not always effective.
Per 2023 comprehensive inspection: The service had activities coordinators who developed activity plans for people. We saw people taking part in meaningful and individualised activities including poetry, reading and bingo.
Risks like repositioning and diabetes aren't managed well because care plans lack details.
Risks to people's health and wellbeing were not always effectively assessed or managed. Care plans did not consistently contain detailed information about individuals' specific needs. For example, people who required regular repositioning did not always have appropriate charts in place.
Medications aren't always recorded safely and errors aren't followed up properly.
Medicines were not always recorded in a safe way... when medication errors occurred, there was not always evidence of effective follow-up or learning to prevent recurrence.
Night shifts feel stretched and hard because residents needs have increased.
some staff expressed concerns about staffing levels during night shifts... “It is hard work on nights because people’s needs have increased over time.”
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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