Last updated: 10 February 2026
"Staff always available and a supportive stable team, but medicines safety issues and weak oversight hold it back."
The provider’s systems to ensure people’s medicines were administered safely were not always effective. We checked the stock control systems in place and found records did not match the amount of stock available... The electronic medicines administration system (EMAR) showed some peoples medicines were administered late.
Staff told us they felt well supported by the registered manager and records showed they received regular discussions with the registered manager about their role. The registered manager told us they had a strong long-standing team of staff.
People and their relatives told us there were enough staff to support them safely. A person told us, “The staff are pretty good, and they are always around.” We saw staff were available to support people when they needed it for example call bells were answered promptly.
Records showed staff had received training for example, in safeguarding, medicines administration and infection prevention control, however some staff training was overdue for completion of a refresher course.
there was a lack of oversight in place and governance systems were not driving improvements. Checks on the environment were not always effective in driving improvements.
Some people did feel they would like the opportunity to go out into the community more frequently. A person told us, “We don’t have enough time for ourselves e.g. for going out.”
Medication errors like stock records not matching what's on hand and some medicines given late, plus no reviews after falls so risks aren't fixed.
records did not match the amount of stock available. This meant we could not be sure people had received their medicines as prescribed. The electronic medicines administration system (EMAR) showed some peoples medicines were administered late... no review of their falls risk assessment or care plan had taken place
No strong leadership oversight, so problems like poor care plans and environment checks aren't driving real improvements.
there was a lack of oversight in place and governance systems were not driving improvements. Checks on the environment were not always effective in driving improvements.
Only basic training with some refreshers overdue, no specialist development.
some staff training was overdue for completion of a refresher course.
AI Generated
Last inspected: July 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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