Last updated: 9 February 2026
"Good training and improving staff culture, but poor medicines management, weak oversight, and staffing shortages at peak times hold it back."
Improvements continued to be required with the way risks to people were managed and with the management of medicines. The provider had not ensured risks to people were managed effectively and the safe management of medicines. This was a breach of regulation 12
Most staff felt the culture and morale within the home was improving. A staff member told us, 'I feel supported in my role, and I think the manager is lovely, approachable, and is making good improvements'
We received mixed feedback from people, staff and relatives when asked if there was enough staff to meet people's needs. We saw at times staff were not available to supervise people in the 2 lounge areas during peak times
People were supported by staff who had access to training opportunities to enable them to have the skills for their role. Staff confirmed they had received the training they needed for their role which included an induction
Systems and processes were ineffective and not robust enough to maintain oversight of the service. This was a continued breach of regulation 17 (Good Governance)
Medication stock counts didn't match records, fridge was too warm for some meds, and people got doses late sometimes
We found discrepancies for 1 person when we counted the balances of medicines in stock... The fridge temperatures were not always in the manufacturer's recommended temperature range... some people did not receive their medicines at the required times
Staff numbers are enough most days but get stretched at busy times so help isn't always right away
We received mixed feedback... Some staff felt there was enough staff to meet people's needs, whereas other staff told us an additional staff member at peak times would be beneficial... we saw at times staff were not available to supervise people... on 2 occasions we had to intervene
Management checks miss problems like unsafe mattresses and recruitment gaps until inspectors point them out
The systems in place had failed to identify people's privacy and dignity was compromised... Mattress audits were completed on a 6 monthly basis and these failed to ensure timely action was taken... Robust systems were not in place to audit staff files
AI Generated
Last inspected: December 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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