Last updated: 10 February 2026
"Mixed staff culture, but high staff turnover, poor induction and unsafe medicines management hold it back."
The service was in breach of legal regulations in relation to people’s safe care and treatment, including how medicines were managed, staffing and recruitment... Systems and processes to manage medicines safely were not effective... Safeguarding systems and processes were not reliably effective.
Feedback from staff was mixed... Staff indicated they felt unsupported by senior leadership... At the moment quite scared and worried.
The provider had failed to complete all required pre-employment checks for some staff... Feedback from staff indicated that not all felt adequately inducted... too many new staff; they need inducting and support.
There was insufficient evidence of robust induction processes, competency assessments, regular supervision, and role-specific training... Last time I had it (supervision) was over a year ago.
Leadership instability had impacted the service, resulting in inconsistent oversight and weakened risk management.
People did not always receive person-centred care and had limited access to meaningful activities... I don’t get out much... People haven’t been going out much... They are not giving her any activities.
High staff turnover and agency workers who don't know residents well make care inconsistent and unsafe.
The staff turnover is an issue because (person’s name) is not then with the same staff... The agency staff are not trained staff... When new staff, they don’t know what they are doing... failed to complete all required pre-employment checks for some staff
Unsafe medicine handling and weak safeguarding put residents at risk of harm.
medicines were crushed to aid swallowing... staff had not sought advice from a pharmacist... a safeguarding concern relating to oral hygiene had not been identified... restrictive practices were imposed without a recorded mental capacity assessment
Staff go without regular supervisions or proper induction, leaving gaps in skills and support.
Insufficient evidence of robust induction processes, competency assessments, regular supervision... Last time I had it (supervision) was over a year ago... too many new staff; they need inducting and support
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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