Last updated: 10 February 2026
"Staff feel supported with good training and engaging activities, but safety issues like medicines errors and poor risk assessments plus weak oversight hold it back."
The service was in breach of legal regulation in relation to people’s safe care and treatment... People did not always receive their medicines safely... risk assessments and care plans were not consistently completed or sufficiently detailed.
Staff reported feeling supported by the management team. Comments from staff included, “I do feel our management team is fantastic. The registered manager has such a calm approach, I feel like I’m listened to,” “The managers and colleagues are absolutely brilliant”
Safe and effective staffing Score:3 ... The provider maintained sufficient staffing levels and ensured safe recruitment practices were followed.
Staff completed an induction, mandatory training, and ongoing supervision, appraisal, and competency assessments.
Governance, management and sustainability Score:1 ... A lack of oversight meant that some areas of concern identified during our assessment were not detected or addressed promptly.
Staff encouraged people to take part in meaningful activities... gardening... hairdresser... singers... annual ‘sports day’ event... accessible planters and a wheelchair friendly greenhouse... fortnightly church service... Indian cultural day.
Safety issues like medication mistakes, dirty equipment, and poor risk assessments for choking or distress mean care isn't always secure.
Medication incidents remained an ongoing concern, including occurrences of missed doses and administration of incorrect medication... risk assessments and care plans were not consistently completed or sufficiently detailed to mitigate risks effectively. For example, people on modified diets did not have appropriate risk assessments in place, placing them at risk of choking.
Weak oversight missed big problems like outdated records and safety risks, so managers aren't catching issues early.
Governance systems in place failed to identify the concerns found during the assessment... A lack of oversight meant that some areas of concern identified during our assessment were not detected or addressed promptly.
Staffing is enough but some are working too many hours without proper breaks, which could lead to tiredness and mistakes.
some staff had been working without adequate breaks between shifts or adequate days off. Upon identifying this, the provider took prompt action to review and adjust staff rotas.
AI Generated
Last inspected: September 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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