Last updated: 10 February 2026
"Staff feel part of a fab supportive team with enough trained staff, but poor safety practices, no meaningful activities, and weak governance hold it back."
Breaches of Regulation 15, risks not always managed, poor IPC practices, medicines not always as prescribed, and 9 safeguarding concerns including 5 medication errors in June.
Staff described as a 'fab team' who help each other and spoke positively about the new manager providing stability.
There were enough suitably trained staff at the service, although they were not always deployed effectively to meet people’s need.
Not all staff had completed required safeguarding training and IPC training was planned with further improvement required.
New manager in post applying to register but service in breach of Regulation 17 Good Governance with audits failing to identify concerns and repeated management changes.
People told us there was little of interest to do in the daytime with no meaningful activities and many remained in rooms watching TV.
No activities programme or coordinator, so the role is mostly routine personal care like helping with washing and meals.
People and their relatives told us there was no activities that were meaningful or enhanced their lives. Comments from people included, "There are no activities really. A normal day is sat here watching TV and talking."
Safety risks like poor infection control, medication errors, and unfinished repairs mean more incidents and stress in your shift.
We observed poor infection, prevention and control practices... Where people required support to take their medicines they did not always receive them as prescribed... We found 9 safeguarding concerns for June 2024, 5 of which were medication errors.
No permanent manager yet and governance checks miss problems, so issues pile up without quick fixes.
A manager in post who had submitted their application to register... The service was in breach of Regulation 17 Good Governance. A range of service checks including audits were available but failed to record... the concerns we identified.
AI Generated
Last inspected: October 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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