Last updated: 10 February 2026
"Staff receive good training in a supportive team with varied activities, but serious medicines safety issues and staffing shortages hold it back."
Medicines optimisation Score:1 The provider did not make sure that medicines and treatments were safe... risk assessment for this was out of date... instructed... to crush all other medicines... Medicines that should not be crushed... can lead to overdose, reduced effectiveness, or serious side effects.
Overall the staff we spoke with were positive about working at the service. Most of the staff felt supported and spoke of being a good team. They told us the management team cared about them and took any suggestion seriously.
Although the provider told us they made sure there were enough qualified, skilled and experienced staff on duty, some people felt there were not enough staff available at times, and they had to wait for support... During our inspection, a person in their room was requesting support but there was only one member of staff in the lounge.
Staff told us they were happy working at the home, felt supported and listened to. They said they received training that equipped them to do their job well and care for people and regular refreshers to ensure their skills were updated. Staff told us they received regular supervision and appraisals.
Staff’s opinion about the registered manager and management team varied... others reported, “When short staffed, managers used to help. Now they’re always in their office. We don’t see them” and “I feel that staff are under a lot of pressure. When asking for support, we are sometimes told to just get on with it… I feel that there is sometimes a blame culture.”
There was a range of activities on offer which were varied and included external entertainers... a ‘Sip and paint’ evening event was organised... Selsey trip in the summer, it's really good fun.
Medication handling has serious issues like crushing the wrong pills without doctor approval and out-of-date risk checks.
Another person’s eMAR record stated the specific medicines that could be crushed. However... instructed by another senior member of staff to crush all other medicines... Medicines that should not be crushed are specifically designed to work in certain ways and altering them can lead to overdose, reduced effectiveness, or serious side effects.
Staffing matches the rota on paper but residents often wait for help and staff get too busy to respond quickly.
some people felt there were not enough staff available at times, and they had to wait for support... During our inspection, a person in their room was requesting support but there was only one member of staff in the lounge. They told us they could not leave other people unattended.
Managers do not spot key problems like medication errors through audits and some staff feel they hide in offices instead of helping out.
Medicines audits were undertaken but were not always effective because they had not identified the concerns found during our inspection... “When short staffed, managers used to help. Now they’re always in their office. We don’t see them”
AI Generated
Last inspected: August 2022
Management Quality
Well-led: Good
Direct feedback from current and former employees

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