Last updated: 10 February 2026
"Enough skilled staff, good training and engaging activities, but medicines safety issues and low staff morale are concerns."
Medicines records generally assured us that oral medicines were being appropriately administered. However, people did not always receive their pain relief medicines at lunch time... No body maps were in place... Records were inconsistent and did not always match... reports demonstrated this was not always followed.
Some staff commented, “Morale is quite low sometimes” and “staff morale is a nightmare; we have a meeting to try and sort this out.”
There were enough qualified, skilled and experienced staff to provide care that met people’s individual needs. Some staff said they felt there were not enough staff to meet people’s needs.
Staff had access to appropriate training, support and supervision meetings.
A new home manager had been appointed who came into post part way through the assessment; number of management changes over recent months; new quality assurance system rolled out but yet to be embedded.
Positive initiatives had taken place, with the activities co-ordinator involving people in ‘Blankets for Baby Rhinos,’ knitting blankets for a sanctuary in South Africa.
Medication problems like missed pain relief, poor records for creams and thickeners, and inconsistent PEG feeds put people at risk.
people did not always receive their pain relief medicines at lunch time due to the morning medicines round running over time. This placed people at risk of experiencing unnecessary pain. No body maps were in place... Processes to manage the administration of thickener required improvement. Records were inconsistent... Whilst the care plan was in place... reports demonstrated this was not always followed.
New manager only just started after lots of recent changes and quality checks aren't fully working yet.
There had been a number of management changes over recent months. A new home manager had been appointed who came into post part way through the assessment... A new quality assurance system was rolled out during the assessment... yet to be embedded, and its effectiveness evaluated.
Some staff say morale is low or a nightmare even with better listening from managers now.
Some staff commented, “Morale is quite low sometimes” and “staff morale is a nightmare; we have a meeting to try and sort this out.”
AI Generated
Last inspected: March 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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