Last updated: 10 February 2026
"Visible leaders, stable staffing and an open culture with plenty of activities, but inaccurate medicine records affect safety."
The service was in breach of legal regulation in relation to the ways people’s medicines were managed safely. Medicine administration records were not always accurately completed.
Leaders had a culture of openness, honesty and continual development. Staff felt leaders were fair and credible.
There were enough staff to make sure people received safe care. Leaders at the service worked hard to recruit permanent staff and reduced their reliance on agency staff. One member of staff told us, “There is always enough staff. It has been better recently, now we don’t use agency staff as much.”
We found staff had up to date training and they were safely recruited and inducted.
Leaders were visible in the service, and they had a clear plan to drive improvement and consistency. One member of staff told us, “The managers are excellent. The managers are what make it good to be here.”
People told us there were lots of activities taking place. One person told us, “There are always groups and activities going on. [The activities coordinator] is very good with everyone.”
Medication records have gaps and errors, so giving meds safely is tricky sometimes.
Medicine administration records were not always accurately completed; therefore, it was not always possible to know the reason why medicines were missed.
Not everyone has up-to-date risk assessments, so managing daily risks for residents isn't always straightforward.
We found not everyone had up to date risk assessments in place.
Debriefs after incidents are inconsistent, so staff support after tough shifts varies.
Some staff felt debriefs after incidents were not as good as they could have been. While we found most incidents had a debrief, this was not consistent.
AI Generated
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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