Last updated: 10 February 2026
"Staff happy with training and positive about teamwork, but weak medicines oversight and no activities programme hold it back."
People's medicines were not always managed safely. There were other discrepancies in medicines administration records with unexplained gaps and we could not be assured if this was an administration or recording error. This was a continued breach of regulation 12.
Staff were positive about working at the service. A staff member told us, 'I think [registered manager] is good and has the care and welfare of residents and staff at the heart of everything they do.' Another staff member told us, 'The team work is the best thing, everyone helps the seniors and manager comes and help.'
The provider ensured there were sufficient numbers of suitable staff to meet people's needs. People and relatives told us there was enough staff available to provide support. A person told us, 'Generally speaking there are enough staff around. There are times when there is a rush, but it is usually okay.'
Oversight in relation to training had improved and staff had now either received training relevant to their role or on track to complete training the provider had identified as being necessary. Staff were happy with the training they received.
Governance arrangements had improved. However, more work was required in relation to the oversight for medicines management. The provider failed to keep effective oversight of medicines processes. This was a continued breach of Regulation 17.
No activities, engagement programmes, coordinator, or creative approaches mentioned; report focuses on routine care such as meals, medicines, and risk assessments.
Medication errors not always spotted by senior staff during daily checks, which could harm residents.
There were other discrepancies in medicines administration records with unexplained gaps and we could not be assured if this was an administration or recording error. The monthly audit was not due but senior staff completing daily counts had not identified the concerns.
Management oversight on medicines and governance still weak with ongoing regulator breaches.
The provider failed to keep effective oversight of medicines processes. This was a continued breach of Regulation 17 of the Health and Social Care Act 2014.
No activities programme or coordinator mentioned, so the role is mostly routine personal care like meals and meds.
No activities, engagement, or creative approaches mentioned at all in the report.
AI Generated
Last inspected: February 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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