Last updated: 10 February 2026
"Staff feel well supported by caring leadership and enjoy a positive, family-like culture, but medicines management and infection control shortfalls need attention."
We found some shortfalls with the management of medicines, but no person had come to harm and the registered manager took immediate actions... some shortfalls were identified [in infection prevention and control]... This inspection identified a person had different eye drops... PRN protocol had not been updated... covert medicines... not been followed up with the pharmacist.
Staff confirmed there was a positive staff culture and how they felt valued and respected. A staff member said, “We promote independence, provide person centred care, a safe, warm and caring environment. There is a positive, open, honest and supportive staff culture.” Staff felt valued and listened to, and encouraged and enabled to speak up if they had any concerns.
Staff confirmed there were sufficient, experienced and competent staff to meet people’s needs. Staff shortfalls such as leave, and sickness were covered by staff, the management team or a regular agency was used if required. A staff member said, “I have no concerns about staffing. We are a stable staff team, we’re happy, and work well together. Like a family, stick together help each other out.”
The staff training matrix showed good compliance, refresher training gaps were minimal, and action was in place to reach full compliance. Specific health care tasks such as radiologically inserted gastrostomy tube (RIG), Percutaneous Endoscopic Gastrostomy (PEG) and insulin administration, staff had received training and their competency assessed by health care professionals.
Staff felt well supported and spoke positively about the support, management and leadership of the registered manager. A staff member said, “We have a very caring, supportive, loyal and hard working manager who will support on the floor too. I’m very happy, it’s a positive place to work. The manager is very supportive, approachable and fair to all staff. Staff morale is high.”
People lead active and fulfilling lives, this included attending community day services, accessing the local community and participating in leisure and recreational activities, interest and hobbies. We observed how independence was promoted... people had access to all parts of the service including the kitchen... offered choices to access the community with staff.
Some gaps in medication records and infection control mean safety processes are not fully tight, even though no one was harmed and fixes were quick.
We found some shortfalls with the management of medicines, but no person had come to harm... We noted several care staff wearing nail varnish... a team leader... administering medicines without wearing gloves... a downstairs WC had a broken flush button cover... bedroom cupboard... worn with the covering peeling.
No dedicated activities coordinator or specialist programmes, so days involve routine care plus basic community outings and hobbies.
People lead active and fulfilling lives, this included attending community day services, accessing the local community and participating in leisure and recreational activities, interest and hobbies.
Occasional agency staff cover gaps from sickness or leave, alongside stable team.
Staff shortfalls such as leave, and sickness were covered by staff, the management team or a regular agency was used if required.
AI Generated
Management Quality
Well-led: Good
Direct feedback from current and former employees

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