Last updated: 10 February 2026
"Staff feel supported, valued and stable with good training and consistent teams, but serious medication safety issues need urgent fixing."
We found that some people's medicines were not managed to ensure people received them safely and in accordance with their health needs... This was a breach of Regulation 12 (Safe care and treatment).
Staff spoke positively about working for the provider. They felt well supported, valued and happy in their role. Staff felt respected, valued and supported and that they were fairly treated.
There were sufficient numbers of staff to meet people's needs. The provider ensured people had a consistent staff team. One relative said, 'There are very few staff changes, there seems to be enough staff when I visit'.
The provider had a system to monitor all staff and had regular and refresher training to keep them up to date with best practice. Staff told us that they received regular supervision and had opportunities to discuss issues or development.
Staff spoke positively about working for the provider. They felt well supported and that they could talk to management at any time, feeling confident any concerns would be acted on promptly. But medication audits had not identified issues discovered during the inspection.
People were supported to take part in a range of activities within the home. We observed residents taking part in a quiz. People told us they participated in activities such as going to the local pub, music, board games, trips to the local museum and celebrating events.
Medication handling has serious issues like wrong doses of blood thinners, expired drugs, and no safety protocols for some treatments, putting extra pressure on staff shifts.
one person had been given incorrectly a higher dosage of warfarin medication and then at a later date was given a reduced dosage... no written protocols in place to inform staff on how to prepare and administer these medicines... some were out of date.
Management audits missed big medication problems, so leaders are not fully spotting risks that affect daily care work.
Medication audits undertaken by the management team had not identified issues we discovered during the inspection... Audits undertaken in relation to controlled medicines failed to identify medicines that had a short expiry date.
Activities are basic like quizzes, games, and trips with no specialist programmes or coordinator, so most of the job is routine personal care.
People were supported to take part in a range of activities... quiz... going to the local pub, music, board games, trips to the local museum and celebrating events.
AI Generated
Last inspected: November 2019
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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