Last updated: 10 February 2026
"Adequate staffing with skilled workers on rotas, but repeated breaches in medicines safety and poor governance caused serious risks and bored residents."
The registered provider was in breach of legal regulation in relation to safe care and treatment (Regulation 12 medicine management, repeated breach).
We did receive feedback some staff did not always feel their voices had been heard.
Staff rotas were in place indicating a sufficient mix of qualified, skilled, and experienced care workers being available in sufficient numbers for people to be supported each day.
The registered provider was in breach of legal regulation in relation to good governance (Regulation 17, repeated breach).
Some people told us that they were “bored,”
Serious repeated problems managing medicines safely, like inaccurate drug records and no dates on opened bottles.
Controlled drug registers were not always accurate. ... Bottles of medication had been opened and were both in use. In addition to this, there was no indication of the date when these had been opened.
Leaders failed to oversee big risks, like overseas workers living onsite with residents without safety checks.
The provider’s governance systems had failed to identify and prevent an inappropriate arrangement in which overseas workers were accommodated within the service alongside people using the service.
No proper activities programme or coordinator, so mostly routine care and residents bored.
Some people told us that they were “bored,”
AI Generated
Last inspected: September 2025
Direct feedback from current and former employees

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