Last updated: 9 February 2026
"An open and transparent culture with enough staff on duty, but unsafe medicines management and failure to address known concerns hold it back."
Medicines were not managed safely. Information about some people's medicines was not accurate or up to date. This resulted in some people not receiving the medicines they needed. Some people did not always receive the correct dose of their medicine, or missed doses of their medicines without explanation.
The culture of the service was open and transparent, and both the manager and the regional manager were supportive of the inspection process.
On the day we visited, staffing levels were satisfactory. The majority of people and relatives we spoke with, told us they felt there were enough staff on duty to meet people's needs.
The governance systems in place to monitor the quality and safety had identified some of the same concerns we found during our inspection. For example, concerns had been identified with medicines, care planning and the environment. There was little evidence that any effective action had been taken to address these concerns.
Medication errors like wrong doses, missed medicines, and poor checks on health risks like high blood sugar or catheters put people in danger.
The management of medication was unsafe. This was a breach of Regulation 12... Due to service wide safety concerns with medicines being identified, we made a referral to the Local Authority Safeguarding Team for further investigation.
Bosses spotted problems with care plans, meds, and the building through checks but did not fix them properly before this inspection.
The provider had a range of audits in place to monitor the quality and safety of the service. These audits had identified similar concerns with care planning, medicines and the environment, yet there was little evidence that any action had been taken to address these concerns.
Staffing is adequate but nothing special, just enough to meet basic needs with no details on team stability or low workloads.
staffing levels were satisfactory... The majority of people and relatives we spoke with, told us they felt there were enough staff on duty to meet people's needs.
AI Generated
Last inspected: June 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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