Last updated: 10 February 2026
"Good staff training, but staffing shortages, poor management oversight and safety issues hold it back."
The service was in breach of legal regulations in relation to people’s safe care and treatment, medicines management and staffing.
Staff told us they did not feel confident to speak out during the site visit and shared concerns with us after the inspection.
There were not always enough staff available to support people when they needed it and to keep them safe, we have reported on these concerns under ‘involving people to manage risk’.
People and relatives raised no concerns around the knowledge and training of staff and felt they had the skills to support them safely. Staff had received training to ensure they had the relevant knowledge and skills to support people. Staff spoke positively about the training they received. We saw there was a training matrix in place which monitored staffs’ training needs.
The lack of effective systems and oversight of the care people received demonstrated a lack of capability within the management and leadership team. There was also a failure by all leaders to have adequate oversight of the staffing levels of the home.
The registered manager told us the activity workers were currently unavailable in the home and staff were completing activities with people whilst this was resolved. As staff were busy and unavailable to people, we saw people did not always have the opportunity to participate in activities they enjoyed.
Not enough staff on shifts, so people wait too long for help and risks go unmanaged.
There were not always enough staff available to support people when they needed it and to keep them safe
Managers missed big problems like staffing shortages and unsafe medicine storage.
The lack of effective systems and oversight of the care people received demonstrated a lack of capability within the management and leadership team. There was also a failure by all leaders to have adequate oversight of the staffing levels of the home.
Medicines not always stored safely, with stock checks inaccurate too.
Medicines were not always stored securely... We found some stock checks of people’s medicine were inaccurate.
AI Generated
Last inspected: October 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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