Last updated: 10 February 2026
"Strong staff retention and a caring family-like culture, but poor medicines safety and limited activities hold it back."
Medicines plans lacked personalised details like dose, timing; risk assessments lacked detail on risks and mitigations, breaching Regulation 12.
Extremely caring culture where staff treat people like family; positive warm atmosphere, staff feel listened to with good retention.
Sufficient numbers of suitable staff with very good retention rates and many long-serving staff; relatives confirmed always enough staff on duty.
Staff received training needed for roles including specialist external training; effective monitoring system and supportive supervision in place.
Quality assurance systems failed to identify issues with medicines plans, risk assessments and activities, breaching Regulation 17; registered manager approachable but oversight concerns.
Activities limited and inconsistent, e.g. planned music group once and no bowling in a month despite care plan.
Medication plans miss key details like doses and timings so staff can't always give meds safely.
The medicines plans in place described in general terms how to support people to take their medicines. They did not include information about the purpose, dose, route, timing or potential side effects of the medicines.
Activities are limited and not done regularly even when planned like bowling trips.
one person's care plan said they enjoyed a music group and regular bowling trips. However, during an entire month they had only gone to the music group once and had not gone bowling at all.
Quality checks by managers missed problems with meds, risks and activities.
The quality assurance systems needed to be improved as they had failed to identify issues we found with the premises, medicines plans and risk assessments.
AI Generated
Last inspected: January 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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