Last updated: 10 February 2026
"Staff feel like a family with stable teams and supportive managers, but limited activities and inconsistent medicines management hold it back."
Whilst we did not identify any negative impact on people, we found there was not a robust process in place to ensure time specific medicines were consistently given at the times indicated.
Staff told us they enjoyed their work and felt supported by their managers and the wider staff team. One staff member told us “It’s like a family. We get along and help each other.”
People benefitted from a consistent staff team, many of the staff having worked at Hylands House for several years. The provider’s operations manager told us of the low staff turnover at the home.
Staff told us their training was refreshed annually to ensure their knowledge remained relevant. The registered manager had sourced additional training for staff including end of life care, oral health and sepsis.
Staff felt supported by the registered manager and the provider’s operations manager. The registered manager was responsive to our feedback and implemented immediate improvements.
There was no designated staff member to provide people with activities or opportunities for social engagement. We found limited opportunities for people to participate in meaningful and social activity.
No activities coordinator, so the job is mostly routine personal care with limited events or outings to make days more varied.
There was no designated staff member to provide people with activities or opportunities for social engagement. During our inspection we saw individual staff members sitting and drawing with people or looking through magazines but there were limited opportunities for people to participate in meaningful and social activity.
Medication not always given exactly on time as prescribed, and skin patches not rotated properly which could affect how well it works.
there was not a robust process in place to ensure time specific medicines were consistently given at the times indicated on people's prescription. Where people received their medicines via a patch applied to their skin, there was not consistent documentation which evidenced these were rotated in accordance with the manufacturer’s instructions.
Training is standard refreshers plus some specialist when needed, but no funded qualifications or clear career development paths.
Staff told us their training was refreshed annually to ensure their knowledge remained relevant and reflected up to date guidance. The registered manager had sourced additional training for staff including end of life care, oral health and sepsis, when needs had been identified.
AI Generated
Last inspected: December 2018
Management Quality
Well-led: Good
Direct feedback from current and former employees

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