Last updated: 10 February 2026
"Staff feel supported and valued with enough on duty, but unsafe medicines handling and weak leadership put people at risk."
The provider did not ensure the proper and safe use of medicines at the service. We found 11 people had missed some of their medicines between 23 August 2023 and 7 September 2023.
Staff told us they felt supported and valued by the registered manager.
Our observations during the inspection demonstrated there were enough staff on duty at all times to meet people's needs.
Observations of staff training did not provide assurance staff were skilled and competent to effectively apply their learning in their day-to-day practice.
The leadership, management and governance arrangements did not provide assurance the service was well-led, that people were safe, and their care and support needs could be met.
People were supported or enabled to take part in regular social activities.
Medication errors like missed doses for 11 people and unsafe handling put residents and staff at risk every shift.
We found 11 people had missed some of their medicines between 23 August 2023 and 7 September 2023, as these were either not available or out of stock.
Weak leadership oversight means ongoing safety and care problems are not fixed, making the job stressful.
The provider's quality assurance and governance arrangements were not reliable or effective to identify where the service was compliant with regulations and to identify shortfalls.
Staff training does not stick in daily practice, leaving gaps in dementia care skills.
Staff training was not embedded in their everyday practice. We have made a recommendation about staff training.
AI Generated
Last inspected: November 2023
Management Quality
Well-led: Inadequate
Direct feedback from current and former employees

Scan the QR code or tap the button to chat with us on WhatsApp. Your identity stays completely anonymous.
Chat on WhatsApp