Last updated: 10 February 2026
"Good training and a supportive culture with varied activities, but safety gaps like poor risk records and medication errors need fixing."
Risks to people's health had been identified. However, records did not always show how these risks had been assessed and mitigated... Errors had occurred due to failures in the systems to support safe medicines practices... very limited information about investigations carried out.
Staff told us they enjoyed working in the home and felt fully supported by the management team. Comments included, 'They are all nice and helpful. You can talk to them.'
People told us there were enough staff to meet their needs. Staff told us staffing levels enabled them to look after people safely and records confirmed that assessed staffing levels were maintained.
Records showed staff completed the provider's mandatory training... staff received training to support people with specific health conditions such as diabetes... They recognised my leadership qualities and put me through my level 3 diploma.
Systems and processes were in place to monitor and improve the quality of care provided but they were not effective in identifying the areas of improvement we found during our visit.
People were offered a range of things to do which included group and individual activities... most people in the lounge chose to join a quiz game... plans in place to celebrate Easter and the upcoming Queens Jubilee.
Safety processes had gaps like incomplete risk records for falls, poor incident follow-up, and medication errors such as missed doses for 14 days.
records did not always show how these risks had been assessed and mitigated... Errors had occurred due to failures in the systems to support safe medicines practices... there was very limited information about investigations carried out to identify the cause.
Management quality checks missed problems like weak risk records, unreviewed fluid charts, and medication errors.
Quality audits had not identified where records lacked guidance on how to reduce risks such as falling. Fluid charts were not always reviewed... Medication errors had occurred and had not been identified.
Staffing is adequate and meets needs safely, but nothing special with no details on staff retention or agency use.
People told us there were enough staff to meet their needs. Staff told us staffing levels enabled them to look after people safely and records confirmed that assessed staffing levels were maintained.
AI Generated
Last inspected: April 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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