Last updated: 10 February 2026
"Staff receive regular supervisions, good training and a positive safety culture, but staffing shortages led to agency use causing medicine errors."
People told us they felt safe at the service. Staff demonstrated a good level of understanding in relation to their safeguarding responsibilities and attended regular training.
The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events.
At times there were not always enough permanent staff to fulfil the needs of the service. When this occurred, managers used agency staff to cover the shortfall.
New staff received an induction, and all staff had attended mandatory training courses. Staff were trained with annual competency assessments, supported by external assessors and e-learning.
Staff shared they received regular supervisions and were confident to speak to the registered manager between supervisions if needed.
There was an activities team who arranged for regular visits to the home by a variety of organisations. For example, on the day of the inspection there was a petting farm visit.
Not enough permanent staff at times, so they use agency workers who sometimes don't know the medication systems well and made recording errors.
At times there were not always enough permanent staff to fulfil the needs of the service. When this occurred, managers used agency staff to cover the shortfall. At times having agency meant medicines were being administered by staff unfamiliar with the services systems. This had led to several medicine errors, many of which were recording errors.
Falls are reviewed one by one but no overall analysis to spot patterns and prevent more.
Several people had recently experienced falls. These had been recorded and risk assessments reviewed. However, the manager had not completed a falls analysis which could have demonstrated some common themes and trends.
AI Generated
Last inspected: August 2025
Management Quality
Well-led: Good
Direct feedback from current and former employees

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