Last updated: 10 February 2026
"Supportive management and positive team culture, but medicines safety issues and incomplete training need attention."
We identified two breaches of the regulations. The registered manager and provider did not always ensure safe and proper management of medicine. The completion of some of the medicine management records and checks needed reviewing and improving... The provider and the registered manager needed to improve recruitment processes.
Staff felt listened to, supported and the registered manager was approachable. Staff said, 'Since the new manager, we all work as a team better. The manager is on the floor, knows the residents and they know her' and 'Yes, we work as a big team.'
Relatives told us they had no issues with staffing and were happy with the care and support people received. They said, 'Yes there are enough staff' and 'We are happy with the care [the person] gets'.
We reviewed the training matrix which recorded training the provider had determined was mandatory and role dependant training to meet people's needs and ensure their safety. Not all staff had fully completed their training according to the topics such as practical session for first aid/basic life support, moving and handling.
The registered manager had an open-door policy and encouraged staff to bring any issues or concerns to them. They said, 'During handovers, the team would always discuss what was going on and we have communication book to note what is going on and staff are aware. There is no blame culture here.'
The registered manager made changes to the service that had positive impact to people and their outcomes including... review of daily care and support, activities and records. We observed better engagement with people from staff, presenting more opportunities for people to take part in activities they enjoy.
Medication records have gaps and some old equipment was found, which means safety checks are not fully reliable yet.
We reviewed medication administration record (MAR) sheets, and we found some incomplete records such as gaps in MAR sheets... We found some expired equipment such as 8 syringes, 1 covid test, sample tubes, transwabs.
Not all staff have finished their basic safety training like first aid and moving people.
Not all staff had fully completed their training according to the topics such as practical session for first aid/basic life support, moving and handling.
Recruitment files are missing some checks on staff background, which could let in unsuitable workers.
Staff files did not always contain required information to demonstrate safety checks had been completed such as full employment history, health checks, evidence from previous employment regarding staff's conduct and verifying reasons for leaving.
AI Generated
Last inspected: June 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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