Last updated: 10 February 2026
"A positive culture where staff feel safe and supported, but staffing shortages, medication errors and lack of activities hold it back."
identified 3 breaches of legal regulation in relation to the safe management of medicines, risk management and staffing... issues with record keeping linked to the administration of covert medicines, ‘as required’ medicines... and... medicines in patch form.
Staff told us that they felt safe and supported to raise concerns and that they would be listened to... “The service has improved significantly. The management are much more helpful and the culture is much better.”
breach of legal regulations... ensuring sufficient numbers of staff were deployed to complete all tasks required of them... not assured staffing levels had always been sufficient to meet people’s individual needs.
Staff training was up to date... However, variable accounts of supervision... did not provide supervision in line with their own policy and there were several staff members without an up-to-date supervision.
new home manager in post... described as, “visible, approachable and down to earth”. However, continued issues with governance processes... improvements were either slow to be made or had not been sustained over time.
There was a lack of activities and stimulation within the home. Care staff were responsible for activity completion, but did not have time to do this, alongside their caring responsibilities.
Not enough staff to cover all care tasks and activities, leaving you rushed and some needs waiting.
we were not assured staffing levels had always been sufficient to meet people’s individual needs and carry out all of the responsibilities asked of care staff, which included activity completion.
Medication errors like doses given too close together and risk plans lacking detail put safety at risk.
For two people we found that the prescribed time interval had not been observed for paracetamol... they had received doses too close together... Some people’s risk assessments were lacking in detail.
No activities programme or coordinator in action yet, so the role is just routine personal care.
lack of activities and stimulation within the home... staff did not have time to do this... provider had recently employed 2 activity coordinators, who were still completing their induction.
AI Generated
Last inspected: June 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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