Last updated: 10 February 2026
"Staff feel valued with a supportive manager and enough staff, but unsafe medicines management and reliance on care staff for activities are major concerns."
Medicines were not managed safely: secondary dispensing observed, one person did not receive medicines per prescriber's instructions, insulin self-administration unsafe for person with advanced dementia.
Staff said 'I love my job', '[registered manager] is the best manager ever, we are able to ask him anything' and 'we can let off steam'.
People told us there were always enough staff to help them and 'we observed staff had time to engage with people and spent quality time with them'.
We viewed the training matrix which confirmed staff had received mandatory training, new staff completed induction including Care Certificate, and had regular supervisions.
Staff said '[registered manager] is good to us we can speak to him at any time' and 'the best manager ever' but 'governance systems did not always effectively monitor the service'.
Activities were reliant on care staff, service did not employ specified member of staff for this; various activities such as card games, gentle exercise, trips out.
Medication errors like staff signing without seeing people take pills and giving meds at wrong times make daily work riskier.
We observed medicine administration during our inspection and saw secondary dispensing took place... one person did not receive their medicines in line with the prescriber's instructions.
No activities coordinator so care staff handle basic games and outings on top of personal care duties.
Activities were reliant on care staff and the service did not employ a specified member of staff for this.
Audits miss problems like medication errors so issues build up without early fixes.
Governance systems did not always effectively monitor the service... audits were carried out in relation to medicines. However, the audits did not identify poor practice in relation to administration.
AI Generated
Last inspected: May 2020
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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