Last updated: 9 February 2026
"People enjoy a wide range of activities and staff get good training, but safety risks with medicines and unapproachable management hold it back."
Risks to people were not always identified and mitigated. Safe medicine practices were not always promoted. The service was in breach of legal regulation in relation to people’s safe care and treatment, including the ways people’s medicines were managed
We received mixed feedback from some staff about the culture of the service. Some staff commented, '[Registered Manager’s name] has not developed much interaction with staff' and 'The home has a negative culture, there is tension which do not always promote teamwork'
Some staff did not feel the staffing levels were always sufficient and gave examples where they felt it impacted people. In team meeting minutes staff had raised concerns that required staffing was not consistently provided
Staff had access to a range of training that was considered mandatory such as fire safety, first aid, moving and handling. They also had specialist training such as in learning disabilities and autism, managing distressed behaviour, however staff did not have their competencies assessed for all aspects of tasks
Some staff did not find the registered manager approachable and did not interact with them in a positive way. Staff commented, '[Registered Manager’s name] has not developed much interaction with staff' and 'The home has a negative culture, there is tension'
People were supported to be involved in a wide range of person-centered activities, including community activities. Relatives were happy with the activities on offer and felt the range and access to activities had increased for people
Safety risks are not always managed properly, like gaps in choking supervision and unsafe ways of giving medicines, making shifts feel risky
A person who was a known choking risk... was not consistently supervised... The lack of clinical advice regarding mixing medicines with food placed people at risk of ineffective treatment
Staffing levels are not always enough, with staff sometimes pulled back from activities to cover units
some staff did not feel the staffing levels were always sufficient... staff had raised concerns that the required staffing was not consistently provided and staff were asked to return from activities early
Some staff do not feel the manager is approachable and there is tension affecting teamwork
Some staff did not find the registered manager approachable... 'The home has a negative culture, there is tension which do not always promote teamwork'
AI Generated
Last inspected: November 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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