Last updated: 9 February 2026
"Staff feel supported by an approachable manager and receive good training, but safety shortfalls with poor risk plans and medicines errors, plus weak governance hold it back."
Breaches of regulations for safe care; risk assessments did not always identify risks or mitigation; MAR errors where weekly medicine signed daily.
Staff said the registered manager is approachable, supportive, and they could speak up freely about concerns.
People said there were enough staff, but past rotas were not retained and shared rotas were not always in accordance with people’s needs or choices such as specific gender of staff.
Staff received safeguarding training, infection prevention control training, and safe medicines handling training with competencies regularly refreshed.
Staff told us the registered manager is very approachable and supportive, but governance systems and audits were not effective and policies were not kept updated.
People said they go on holidays, shopping in town, to the pub, and follow interests with community access.
Risk plans and care records don't always match what residents need right now, and there were mistakes signing off medications.
Care plans and risk assessments did not always reflect people’s current needs... the medicine administration record (MAR) recorded this had been administered each day.
Shift rotas aren't kept properly, and some didn't have the right staff gender mix or numbers for resident choices.
The provider was not retaining rotas... rotas shared were not always in accordance with people’s needs or choices. For example, 1 person requested a specific gender of staff to support with personal care on set days. However, there were days when the rota displayed an absence of this gender of staff.
Policies are outdated and audits missed problems like poor risk plans and water temperature issues.
Policies and procedures were not kept updated with changing legislation... Governance systems and audits were not effective when identifying or addressing the discrepancies found during this assessment.
AI Generated
Last inspected: January 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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