Last updated: 10 February 2026
"Good training and positive culture, but unsafe medicines handling, incomplete incident reports, and inconsistent leadership hold it back."
Records showed staff had not always completed incident reports. People's care plans did not always contain current information on managing risks. People did not always receive their medicines safely.
People and their relatives informed us there was a positive culture in the service, and our observations of how staff interacted with people confirmed this. Staff felt managers were approachable.
While some relatives felt there was not enough staff and call bells could take longer to answer, most felt there were enough. We observed staff were busy but had enough time to interact with people.
Per 2020 comprehensive inspection: Staff spoke well of their inductions and their training during this time. Staff received regular supervision and felt supported by their seniors, and colleagues.
The service was not always well-led. The service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.
Per 2020 comprehensive inspection: People's relatives spoke positively about the activities and events which took place. Entertainers, school children and choirs also visited the home.
Accident records not always filled out, and some medicines handled unsafely like calming doses without noting why they were given.
Records showed staff had not always completed incident reports. Medicines prescribed to be taken by people on an as required basis (PRN) were not always managed safely. Records showed people had been given PRN medicines with calming or sedative effects inconsistently or without always documenting why.
Leaders did not spot risks or quality issues through their checks and audits on care plans and medicines.
Care plans were not always of good quality and contained inaccurate and conflicting information. Medicines audits carried out by the provider had not identified PRN protocols did not always have enough information.
Staffing levels are okay for basic care but some relatives say call bells take too long and staff seem stretched.
While some relatives felt there was not enough staff and call bells could take longer to answer, most felt there were enough.
AI Generated
Last inspected: December 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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