Last updated: 9 February 2026
"Staff feel happy and valued with good training and activities, but serious medicines safety issues and ineffective governance hold it back."
Medicines were not always managed safely... Time-sensitive medicines for Parkinson disease, were observed on numerous occasions not to have been given at the right time... Concerns were identified in relation to infection prevention and control.
Staff told us they were happy working at the service and felt they were treated fairly. The manager told us their workforce was important to them.
One staff member told us, “We use agency a couple of times a week due to staff sickness, but they [management] are really good as they can get someone quickly for us. Staffing is fine on all the floors.”
The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development.
Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback. There was a culture of continuous improvement, however more time was required to embed and sustain the improvements made. Governance processes were in place but were not always effective in identifying the concerns found during this assessment.
People told us they could choose how they spent their time. One person said, “There’s a school just up the road and the children come to visit us... We can go out if we want and walk to town.” We observed there was a range of activities which people were able to join in with.
Serious issues with medicines like not giving Parkinsons meds on time, poor waste storage, and infection control lapses like soiled linen.
Time-sensitive medicines for Parkinson disease, were observed on numerous occasions not to have been given at the right time to ensure that they were effective for people. We identified concerns in relation to food storage, soiled bed linen and a soiled mattress cover. waste medicine that needed to be returned to the pharmacy was not signed by two staff
Management systems did not spot key problems like poor care records, risk plans, and medicines issues on their own.
The provider had not independently found concerns we identified during our assessment, for example, in relation to inaccurate care plans, medicines management and infection control.
Agency staff needed a couple of times a week due to sickness, even though levels are called adequate.
We use agency a couple of times a week due to staff sickness
AI Generated
Last inspected: April 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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