Last updated: 10 February 2026
"Staff feel supported with good training, but serious medication errors and repeated leadership failures make safety unreliable."
Medication management was unsafe, did not adhere to best practice guidelines and placed people at risk of significant harm.
Staff we spoke with liked working in the home, felt the manager was supportive and had improved the service since they had come into post 12 months prior.
Staff recruitment and staffing levels were safe. On the days we visited, there were enough staff on duty to meet people's needs.
Per 2019 comprehensive inspection: As well as training in areas considered mandatory, additional training had been provided to staff, in areas such as catheter care and syringe driver management.
The systems in place to monitor quality and safety were ineffective. This is the sixth time the service has been given an overall rating of requires improvement since 2015.
Per 2019 comprehensive inspection: There was a range of activities available, both in the home and in the community and people told us they enjoyed these.
Serious medication errors and poor risk management mean safety isn't reliable and you have to be extra careful every shift.
Medication management was unsafe, did not adhere to best practice guidelines and placed people at risk of significant harm. People's risks were not adequately assessed, monitored and managed to prevent avoidable harm.
Leaders lack proper oversight with the same problems repeating for years.
This is the sixth time the service has been given an overall rating of requires improvement since 2015. At each inspection, the well-led domain has been rated as requires improvement.
Staffing is adequate but nothing special and includes some agency workers.
We spoke with the regional manager, the registered manager, the deputy manager, an agency nurse, a senior carer and two care assistants... there were enough staff on duty to meet people's needs.
AI Generated
Last inspected: August 2022
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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