Last updated: 10 February 2026
"Positive staff culture and varied activities programme, but medication errors and training gaps hold it back."
Medicines optimisation score 1: wrong medicine given for seizure, high paracetamol doses, laxatives not given when needed, records incomplete.
Staff reported a positive open culture where they felt empowered to raise any concerns: 'I really like the home, management and staff are really friendly'.
Safe and effective staffing score 1: mixed staff feedback on levels, 'certain periods where everyone wants something at once... agency could not cover', stretched at bedtime.
Training records showed staff had not completed additional training to meet people’s assessed needs, such as epilepsy, catheter care and diabetes.
Governance, management and sustainability score 1: audits not robust, lack of oversight on constipation risks and medicines, breaches of regulations in governance.
Regular structured programme: activities staff, school children visiting, art and craft, pets, exercises, games, pub visits, church, trips to garden centres, museums, boat trips.
Staff miss training on epilepsy, catheter care, and diabetes even though residents need that support.
the training records showed that staff had not completed additional training to meet people’s assessed needs, such as epilepsy, catheter care and diabetes.
Medication errors like wrong drug for seizures, too much paracetamol, and laxatives not given on time.
A person had not been given the appropriate medicine when they experienced a seizure... given a Midazolam injection... 3 people had been having too high a dose of paracetamol.
Staffing gets stretched at busy times like bedtime, and agency staff do not always cover sickness.
Staff gave us mixed feedback... 'There are certain periods where everyone wants something at once. For example, at bedtime... Today someone was sick, and agency could not cover.'
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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