Last updated: 10 February 2026
"Supportive leadership and positive culture where staff feel valued, but medicines safety gaps and basic activities need attention."
Medicines were administered safely; however, some PRN (as required medicine) protocols were not in place on the electronic system, and the outcome of administration was not always recorded, body maps were not fully in place for topical applications (creams), and the storage of returned medicines was not always secure.
There was a positive culture of openness and learning, with lessons learned shared across the staff team and the wider organisation. Staff spoke positively about the registered manager’s open-door policy and said they felt valued.
One staff member said, “We have enough staff on shift, and we work well together." Staff knew people well and agency use was minimal, supporting consistent care.
Systems for safeguarding, risk management, and infection prevention were in place, and staff received regular training to maintain competence. Training and supervision were in place.
Leadership was visible and inclusive. Staff described management as approachable and supportive. The registered manager responded positively to feedback, implementing changes during the inspection.
Feedback about activities was mixed. Some people said they enjoyed what was offered, while others wanted more variety and opportunities to go out. “They’re a bit basic – my only concern is the inability to go out.”
Medication safety has gaps like missing instructions for as-needed meds, incomplete records for skin creams, and poor storage of returned meds that audits did not fix quickly.
PRN (as required medicine) protocols were not always detailed and body maps for topical medicines (creams) were incomplete. Storage of returned medicines was not always secure. Audits had identified gaps... however, actions to address this had rolled on for several months.
Activities are basic with mixed feedback from residents who want more variety and trips out.
Feedback about activities was mixed. Some people said they enjoyed what was offered, while others wanted more variety and opportunities to go out. One person said, “They’re a bit basic – my only concern is the inability to go out.”
Only standard training is mentioned with no specialist courses or funded qualifications for staff development.
staff received regular training to maintain competence. Training and supervision were in place.
AI Generated
Last inspected: July 2021
Management Quality
Well-led: Good
Direct feedback from current and former employees

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