Last updated: 9 February 2026
"Staff feel supported in a family-like culture with regular activities, but severe understaffing, no registered manager and unsafe medicines hold it back."
Unsafe medicines and risks not managed: 'unsafe management of medicines... repositioning charts did not always show 2 hourly turns... gaps longer than the recommended 2 hours'
Staff generally positive and feel supported: 'Staff told us they felt supported by the current management team... we all work as a family here'
Serious understaffing with poor deployment and response times: 'inadequate staffing and poor staff deployment... extremely poor staff response times'
Basic mandatory training provided but records poor and new staff still inducting: 'Staff had received training... poor record keeping and ineffective clinical governance'
No registered manager in post and serious governance failings: 'The service did not currently have a manager registered... lack of robust clinical governance'
Regular activities like keep fit, outings, pampering by well-being team: 'The activities here are very good, there is always something going on... resident of the day'
Not enough staff so call bells take ages to answer and people wait too long for help.
call bell reports... highlighted extremely poor staff response times... no call bells which had been responded to in under 5 minutes
No permanent manager yet and oversight misses problems like poor staffing.
The service did not currently have a manager registered... Governance systems and audits were not effective in identifying or addressing areas for improvement
Medication errors like out-of-date pain relief still used and patches applied too soon.
liquid Oramorph had an opening date of 22/04/2024... last been administered on the 24/07/2024, 2 days after its 90 day shelf life... another patch... on the 12/08/2024 within 48 hours
AI Generated
Last inspected: November 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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