Last updated: 9 February 2026
"Staff feel well-supported by management and confident to speak up, but low staffing at nights and weekends plus medication safety issues hold it back."
We found medicines were not always administered as prescribed. This was a breach of Regulation 12 (Safe care and treatment).
Most staff told us they felt well-supported by management and felt confident about speaking up at work.
Many staff told us they felt the staffing levels were too low to spend meaningful time with people. Some staff also told us how at weekends and night the staffing levels were of concern, and they felt they were not always able to support people in a timely way.
However, we found that some staff who had been employed for a long time had not completed mandatory or refresher training.
The registered manager operated an open door policy, and the regional manager had a presence in the service weekly and was accessible to staff. However, systems to monitor the quality of the care provided had failed to identify some of the issues highlighted during the inspection.
Some relatives told us of their concerns in relation to the lack of activities and stimulation for people. This meant at times people were not engaged in meaningful activities for long periods of time.
Staff training has gaps, with some long-term staff behind on mandatory updates and no checks on online learning.
some staff who had been employed for a long time had not completed mandatory or refresher training. Once online learning was completed there were no checks or discussions completed or observations recorded to evidence staff learning
Staffing levels are too low at nights and weekends, leaving staff stretched and residents waiting longer.
many staff told us they felt the staffing levels were too low to spend meaningful time with people. Some staff also told us how at weekends and night the staffing levels were of concern
Safety issues like medication errors and missed reporting of risks such as self-harm make care unreliable.
medicines were not always administered as prescribed... records demonstrating one person who was expressing thoughts of harming themselves were not reflected in their support plans and had not been referred to the local safeguarding team
AI Generated
Last inspected: December 2024
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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