Last updated: 9 February 2026
"Staff work collaboratively with sufficient levels and a positive culture, but no permanent manager and medication safety issues weaken it."
Medication systems were in place, but oversight and documentation required improvement. As and when required medication protocols lacked detail, body maps were incomplete, and medication administration records (MAR) charts were confusing.
Staff spoke positively about teamwork and valued the acting manager and deputy manager, describing them as supportive and approachable.
Staffing levels were sufficient to meet people’s needs, and staff were observed to work collaboratively and prioritise people’s safety.
Training compliance was largely good, and staff had completed the necessary courses to carry out their roles safely.
There has been no registered manager in post for over 18 months, which was a breach of registration conditions.
Activities were available, though mainly on a one-to-one basis, with occasional group sessions when entertainers visited.
No permanent manager in post for over 18 months means leadership from the top is weak and unresponsive.
There has been no registered manager in post for over 18 months, which was a breach of registration conditions.
Medication records are confusing with errors audits miss, and some staff do not clean hands properly.
MAR charts were confusing... some staff did not correctly sanitise their hands.
Only basic one to one activities and occasional entertainers, so days lack variety beyond routine care.
Activities were available, though mainly on a one-to-one basis, with occasional group sessions when entertainers visited.
AI Generated
Last inspected: June 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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