Last updated: 9 February 2026
"Staff feel valued in an open culture with stable staffing and good training, but poor medicines record keeping and lack of meaningful activities need attention."
Shortfalls were identified in the management of medicines; these included poor record keeping and topical creams and lotions not always having their opened date recorded. The medicine audit had not identified the shortfalls. No evidence of lessons learned being shared with the team.
Staff told us there was an open culture and they felt valued and respected. They spoke positively about the registered manager and told us they felt listened to.
There were enough staff to meet the needs of people and staff knew how to support people safely, as individuals. Staff raised no concerns about staffing levels. We don’t use agency, so we have good continuity of care.
Staff had been trained in safeguarding, infection prevention and control. Staff who administered medicines had received up to date medicine training and had their competency checked. There was a process in place for staff to receive regular supervision.
Governance processes were not effective and did not support the provider or registered manager to maintain oversight of the service. There was poor record keeping in relation to medicines management, incident reporting and incident analysis. Audits were in place but had not identified the shortfalls we identified at this assessment.
People said they liked the team of consistent care staff but wanted staff to engage them in more conversation and meaningful activities. We observed staff spent a lot of time in the lounge with people, but did not engage people in meaningful conversation.
No activities programme or coordinator, so the role is mostly routine personal care like washing and feeding.
People said they liked the team of consistent care staff but wanted staff to engage them in more conversation and meaningful activities.
Poor record keeping for medications and accidents, so mistakes are not always spotted or learned from.
Shortfalls were identified in the management of medicines; these included poor record keeping... The medicine audit had not identified the shortfalls... no evidence of lessons learned being shared with the team.
Bosses not keeping good enough oversight, missing problems like meds errors and accident follow-up through weak audits.
Governance processes were not effective and did not support the provider or registered manager to maintain oversight... Audits were in place but had not identified the shortfalls we identified.
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp