Last updated: 10 February 2026
"Staff feel supported by the approachable new manager and there are enough staff, but medicines are not managed safely and training is out of date."
Medicines not managed safely with no PRN protocols, stock discrepancies, covert admin not signed off; risk assessments incomplete for epilepsy and diabetes, breach Reg 12.
Staff spoke positively about support from new manager, 'It’s much better, I’m very happy with the new manager' and management is supportive.
People told us there were enough staff and all staff felt there was enough to meet needs, but home had vacancies for care staff and nurses.
Local authority informed service not up to date with training, manager arranged some but clinical training for nurses on medicines and wounds not in date.
New manager started in August 2024 and staff spoke positively about them being approachable, but quality assurance systems were yet to be fully embedded, breach of Regulation 17.
Some provision for activities like exercises and puzzles by staff, but limited, no activities coordinator, manager plans to employ one.
Medication errors like missing protocols for as-needed drugs and stock mismatches, plus incomplete risk assessments for epilepsy and diabetes.
one person had been prescribed a medicine on a PRN basis, but there was not a protocol... differences between the amounts of medicine in stock and recorded... none of them had a risk assessment in place about this [epilepsy]... no information about what the safe levels were for blood glucose [diabetes].
Some nurse training on medicines, wounds, and other clinical areas is out of date despite recent improvements.
not all nursing staff were up to date with their medicines training... nurses had not had any wound care training for ‘a long time’... service was not up to date with its staff training.
No activities coordinator or structured programme yet, so mostly basic staff-led activities like puzzles and exercises.
there was some provision for activities, although this was limited... did not currently employ designated staff to provide activities... actively seeking to recruit an activities coordinator.
AI Generated
Last inspected: November 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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