Last updated: 9 February 2026
"Staff feel supported by managers, but unsafe medicines management, low staffing, and poor safety audits create serious risks."
Peoples' medicines were not always managed safely. Staff were not always managing and recording people’s pain relief patches effectively and in line with the manufacturer's instructions... Clear action was not always taken when potential errors were made by staff members... People were at risk of harm due to insufficiently managed or recognised environmental risks.
The majority of staff felt supported by the registered manager and operations manager.
Staff we spoke with raised concerns about the staffing level on the residential side of the home. At the time of the inspection twelve people were living in this area with two members of staff... people were not always having their individual needs acknowledged and met in a timely way due to staff deployment.
The governance and oversight of the service were not sufficient to ensure the safe care and treatment of people living at the home. Quality checks and audits failed to identify areas of concern including areas of risk in relation to people's health and safety.
Medication errors like wrong pain patch use and poor records are not fixed quickly, making care unsafe.
Nursing staff were not always ensuring people had their pain-relieving patches applied in line with the manufacturer's instructions. Records introduced following concerns identified at the previous inspection were not always completed accurately. Gaps in medicine records where not followed up in a timely way
Staffing too low at times, like two staff for twelve residents, so people wait for help with eating or the toilet.
Staff we spoke with raised concerns about the staffing level on the residential side of the home. At the time of the inspection twelve people were living in this area with two members of staff... One person did not receive suitable support to ensure they were encouraged or assisted with their meal in a timely way. Another person requested assistance to go to the toilet and staff were not present
Managers audits miss safety problems like loose windows and hot water risks, so issues drag on.
Environmental checks had failed to identify risks including an unsafe window... The provider's own policy regarding hot water temperature checks were not always carried out... Quality checks and audits failed to identify areas of concern
AI Generated
Last inspected: August 2021
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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